Banach, Kimberly Ellen

Banach, Kimberly Ellen is an sole proprietor health care provider with primary practice located at 75 Bond Rd , Charlton MA 01507-1301. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Banach, Kimberly Ellen can be contacted via phone (508) 523-8371.

Contact Information

Primary practice address
75 Bond Rd Charlton MA 01507-1301
Phone: (508) 523-8371
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1730859539
LBN Legal business name Banach, Kimberly Ellen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2021
Last updated Sep 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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