Portman, Robert Charles

Portman, Robert Charles is an individual health care provider with primary practice located at 66 Main St , North Easton MA 02356-1443. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Portman, Robert Charles can be contacted via phone (508) 238-7766.

Contact Information

Primary practice address
66 Main St North Easton MA 02356-1443
Phone: (508) 238-7766
Fax: (508) 230-5089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3248 Massachusetts

Profile Details

NPI number 1659309987
LBN Legal business name Portman, Robert Charles
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 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 1659309987 NPPES
Massachusetts Other W03384 BC BS OF MASSACHUSETTS
Massachusetts Other 709551 BC BS OF MASSACHUSETTS
Massachusetts MEDICAID 0516902 BC BS OF MASSACHUSETTS

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