Indenbaum, Gary S
Indenbaum, Gary S is an sole proprietor health care provider with primary practice located at 321 7Th Street Ne Suite A, Hickory NC 28601-5154. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Indenbaum, Gary S can be contacted via phone (828) 324-6397.Contact Information
Primary practice address
321 7Th Street Ne Suite A
Hickory NC 28601-5154
Phone: (828) 324-6397
Fax: (828) 324-2320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1082 | North Carolina |
Profile Details
| NPI number | 1083711816 |
|---|---|
| LBN Legal business name | Indenbaum, Gary S |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Oct 16th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083711816 | NPPES |
| North Carolina | MEDICAID | 6000307 |
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