1093085722 NPI number — MS. JANET A HAMILTON LMSWCC

Table of content: MS. JANET A HAMILTON LMSWCC (NPI 1093085722)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093085722 NPI number — MS. JANET A HAMILTON LMSWCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAMILTON
Provider First Name:
JANET
Provider Middle Name:
A
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMSWCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093085722
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/19/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 72
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SANFORD
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04073-0072
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-490-6900
Provider Business Mailing Address Fax Number:
207-324-0546

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15 OAK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPRINGVALE
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04083-1926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-490-6900
Provider Business Practice Location Address Fax Number:
207-324-0546
Provider Enumeration Date:
01/11/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LC14971 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 03-0455549 . This is a "EMPLOYER NPI #" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".