Miner, John
Miner, John is an sole proprietor health care provider with primary practice located at 100 Eliot St , Chestnut Hill MA 02467-1435. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Miner, John can be contacted via phone (617) 782-0303.Contact Information
Primary practice address
100 Eliot St
Chestnut Hill MA 02467-1435
Phone: (617) 782-0303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 4462 | Massachusetts |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 4462 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4462 | Massachusetts |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 166523 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 4462 | Massachusetts |
Profile Details
| NPI number | 1558380360 |
|---|---|
| LBN Legal business name | Miner, John |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 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 | 1558380360 | NPPES |
| Massachusetts | Other | 0495668 | UNITED BEHAVIORAL HEALTH |
| Massachusetts | Other | 13632 | UNITED BEHAVIORAL HEALTH |
| Massachusetts | Other | 732087 | UNITED BEHAVIORAL HEALTH |
| Massachusetts | MEDICAID | 0518255 | UNITED BEHAVIORAL HEALTH |
| Massachusetts | Other | 7764376 | UNITED BEHAVIORAL HEALTH |
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