Pomerantz, Mitchell Allen

Pomerantz, Mitchell Allen is an sole proprietor health care provider with primary practice located at 11 Kent St # 2 , Brookline MA 02445-7901. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Pomerantz, Mitchell Allen can be contacted via phone (617) 277-8107.

Contact Information

Primary practice address
11 Kent St # 2 Brookline MA 02445-7901
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8198 Massachusetts

Profile Details

NPI number 1083687792
LBN Legal business name Pomerantz, Mitchell Allen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2006
Last updated Apr 25th, 2018 - about 6 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 1083687792 NPPES
Massachusetts Other W10533 BLUE CROSS/BLUE SHIELD

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