Kistler, Lawrence M
Kistler, Lawrence M is an sole proprietor health care provider with primary practice located at 105 Chestnut St Ste 31 , Needham MA 02492-2520. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kistler, Lawrence M can be contacted via phone (781) 455-6336.Contact Information
Primary practice address
105 Chestnut St Ste 31
Needham MA 02492-2520
Phone: (781) 455-6336
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2691 | Massachusetts |
Profile Details
| NPI number | 1467445114 |
|---|---|
| LBN Legal business name | Kistler, Lawrence M |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 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 | 1467445114 | NPPES |
| Massachusetts | Other | W02857 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 138864 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 101288 | BLUE CROSS BLUE SHIELD |
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