Loder, Cory
Loder, Cory is an sole proprietor health care provider with primary practice located at 25 Cottage St Brien Center Main St. Human Resources, Great Barrington MA 01230-1329. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Loder, Cory can be contacted via phone (413) 528-9155.Contact Information
Primary practice address
25 Cottage St Brien Center Main St. Human Resources
Great Barrington MA 01230-1329
Phone: (413) 528-9155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 106296 | Massachusetts |
Profile Details
| NPI number | 1336293695 |
|---|---|
| LBN Legal business name | Loder, Cory |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| 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 | 1336293695 | NPPES |
| Massachusetts | Other | 31711 | HEALTH NEW ENGLAND |
| Massachusetts | Other | P04922 | HEALTH NEW ENGLAND |
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