Birnberg, Jonathan David

Birnberg, Jonathan David is an sole proprietor health care provider with primary practice located at 609 Main St Suite 3, South Portland ME 04106-5453. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Birnberg, Jonathan David can be contacted via phone (207) 775-2220.

Contact Information

Primary practice address
609 Main St Suite 3 South Portland ME 04106-5453
Phone: (207) 775-2220
Fax: (207) 775-2226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS1192 Maine
Behavioral Health & Social Service Providers / Psychologist 103T00000X 8077 Massachusetts

Profile Details

NPI number 1174674279
LBN Legal business name Birnberg, Jonathan David
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2007
Last updated Oct 13th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174674279 NPPES
Massachusetts Other W06273 BCBS OF MASS.
Massachusetts Other 0005266 BCBS OF MASS.
Massachusetts Other 808393000 BCBS OF MASS.

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