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Contact Information

WATCH ME SHINE, INC.
28 GILMAN PLAZA
BANGOR, ME04401
 Phone: 207-990-0162
 Fax: 207-990-0163
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for WATCH ME SHINE, INC.

NPI # 1811124662
LBN Legal business name WATCH ME SHINE, INC.
Authorized official TIFFANY PETRONIS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2009
Last updated 02/13/2015 - About 11 years ago
Identifiers
ME License # 609327
ME Other 432418200 MAINECARE
ME Other 4323532200 MAINECARE FSD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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