Boback, Robert

Boback, Robert is an sole proprietor health care provider with primary practice located at 76 Lewis Dr , Fairfield CT 06825-1920. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Boback, Robert can be contacted via phone (203) 694-9895.

Contact Information

Primary practice address
76 Lewis Dr Fairfield CT 06825-1920
Phone: (203) 694-9895
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 44.001421 Connecticut

Profile Details

NPI number 1326716689
LBN Legal business name Boback, Robert
Credentials LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2021
Last updated Sep 1st, 2021 - about 4 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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