Klebanoff, Lewis Bernard
Klebanoff, Lewis Bernard is an sole proprietor health care provider with primary practice located at 32 Simmons Pond Rd W , Dennis MA 02638-2541. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Klebanoff, Lewis Bernard can be contacted via phone (508) 385-6813.Contact Information
Primary practice address
32 Simmons Pond Rd W
Dennis MA 02638-2541
Phone: (508) 385-6813
Fax: (508) 385-6813
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 675 | Massachusetts |
Profile Details
| NPI number | 1972510295 |
|---|---|
| LBN Legal business name | Klebanoff, Lewis Bernard |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972510295 | NPPES |
| Massachusetts | Other | W01777 | BCBS |
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