Kaban, Leonard Bruce
Kaban, Leonard Bruce is an individual health care provider with primary practice located at 15 Parkman St Wac 230 Oral And Maxillofacial Surgery, Boston MA 02114-3117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Kaban, Leonard Bruce can be contacted via phone (617) 726-8222.Contact Information
Primary practice address
15 Parkman St Wac 230 Oral And Maxillofacial Surgery
Boston MA 02114-3117
Phone: (617) 726-8222
Fax: (617) 726-2814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 36801 | Massachusetts |
Profile Details
| NPI number | 1902897325 |
|---|---|
| LBN Legal business name | Kaban, Leonard Bruce |
| Credentials | DMD MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902897325 | NPPES |
| Massachusetts | Other | M08668 | BCBS MA |
| Massachusetts | MEDICAID | 2022931 | BCBS MA |
| Massachusetts | Other | 700142 | BCBS MA |
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