Provider Demographics
NPI:1508106253
Name:HELFRICH, ANN GAIR (LAC)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:GAIR
Last Name:HELFRICH
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 BRIGHTON AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-2324
Mailing Address - Country:US
Mailing Address - Phone:207-619-2312
Mailing Address - Fax:207-558-3748
Practice Address - Street 1:602 BRIGHTON AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-2324
Practice Address - Country:US
Practice Address - Phone:207-619-2312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAC365171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist