Bancroft, Kenneth M.

Bancroft, Kenneth M. is an individual health care provider with primary practice located at 150 E Market St , Warren OH 44481-1141. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Bancroft, Kenneth M. can be contacted via phone (330) 399-6451.

Contact Information

Primary practice address
150 E Market St Warren OH 44481-1141
Phone: (330) 399-6451
Fax: (330) 934-6266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S12092 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E0002540-SUPV Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 081074 Ohio

Profile Details

NPI number 1649321324
LBN Legal business name Bancroft, Kenneth M.
Credentials LPCC-S, LICDC-CS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jun 12th, 2024 - about 2 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 1649321324 NPPES
Ohio Other 000000125407 ANTHEM
Ohio Other 539304000 ANTHEM

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