Provider Demographics
NPI:1407285323
Name:B&B HOLDINGS, INC
Entity Type:Organization
Organization Name:B&B HOLDINGS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:O'HALLORAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-209-2121
Mailing Address - Street 1:106 LAFAYETTE ST STE 3B
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-6125
Mailing Address - Country:US
Mailing Address - Phone:207-209-2118
Mailing Address - Fax:
Practice Address - Street 1:106 LAFAYETTE ST STE 3B
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-6125
Practice Address - Country:US
Practice Address - Phone:207-209-2118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPRR43043251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage