Kasnetz, Matthew D

Kasnetz, Matthew D is an sole proprietor health care provider with primary practice located at 87 Stiles Rd Suite 106, Salem NH 03079-2899. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kasnetz, Matthew D can be contacted via phone (603) 893-7700.

Contact Information

Primary practice address
87 Stiles Rd Suite 106 Salem NH 03079-2899
Phone: (603) 893-7700
Fax: (603) 893-7331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 461 New Hampshire

Profile Details

NPI number 1528102126
LBN Legal business name Kasnetz, Matthew D
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Jul 9th, 2007 - about 18 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 1528102126 NPPES
Massachusetts MEDICAID 0518956
Massachusetts Other MAGELLAN BEHAVIORAL
Massachusetts MEDICAID 8000 0601
Massachusetts Other 1036669
Massachusetts Other 004547

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