| Still River | |
|
95 Park St Ste 201 Lewiston ME 04240-7282 | |
| (207) 689-5362 | |
| Not Available |
| Full Name | Still River |
|---|---|
| Speciality | Social Worker |
| Location | 95 Park St Ste 201, Lewiston, Maine |
| Authorized Official Name and Position | Nathan Miller (SOLE PROPRIETOR) |
| Authorized Official Contact | 2076895362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Still River 158 Nezinscot Dr Turner ME 04282-4336 Ph: (207) 689-5362 | Still River 95 Park St Ste 201 Lewiston ME 04240-7282 Ph: (207) 689-5362 |
| NPI Number | 1740929603 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 9234576802 |
|---|---|
| Medicare Enrollment ID | O20240320002438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740929603 | NPI | - | NPPES |
| Provider Name | Nathan P. Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023743622 PECOS PAC ID: 6800121864 Enrollment ID: I20240320003111 |
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