Obolensky, Michael R.

Obolensky, Michael R. is an individual health care provider with primary practice located at 13 Welby Rd Suite 2, New Bedford MA 02745-1132. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Obolensky, Michael R. can be contacted via phone (508) 998-1115.

Contact Information

Primary practice address
13 Welby Rd Suite 2 New Bedford MA 02745-1132
Fax: (508) 998-1140
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3973 Massachusetts

Profile Details

NPI number 1891740841
LBN Legal business name Obolensky, Michael R.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891740841 NPPES
Massachusetts MEDICAID 0500194

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