Delbanco, Steven Manfred

Delbanco, Steven Manfred is an individual health care provider with primary practice located at 431 River St Ste 1 , Waltham MA 02453-5483. 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. Delbanco, Steven Manfred can be contacted via phone (781) 966-5643.

Contact Information

Primary practice address
431 River St Ste 1 Waltham MA 02453-5483
Phone: (781) 966-5643
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1044 Massachusetts

Profile Details

NPI number 1629117387
LBN Legal business name Delbanco, Steven Manfred
Credentials M.ED., LADC-I
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated May 23rd, 2024 - about last year

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 1629117387 NPPES
Massachusetts Other 042630450 AGENCY TAX EXEMPT NUMBER

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