Herbert, Paul Phillip

Herbert, Paul Phillip is an individual health care provider with primary practice located at 1040 Waltham Street , Lexington MA 02421-8033. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Herbert, Paul Phillip can be contacted via phone (781) 862-3600.

Contact Information

Primary practice address
1040 Waltham Street Lexington MA 02421-8033
Fax: (781) 860-7636
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1023179082
LBN Legal business name Herbert, Paul Phillip
Credentials MS CAGS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1023179082 NPPES
Massachusetts Other NP01332 BMC
Massachusetts Other 1004745 BMC
Massachusetts Other M18633 BMC
Massachusetts Other 1303287 BMC
Massachusetts MEDICAID 1303287 BMC
Massachusetts Other 703136 BMC

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