Grebouski, Thomas
Grebouski, Thomas is an sole proprietor health care provider with primary practice located at 1247 Washington Rd Ste 25 , Rye NH 03870-2346. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Grebouski, Thomas can be contacted via phone (603) 674-4267.Contact Information
Primary practice address
1247 Washington Rd Ste 25
Rye NH 03870-2346
Phone: (603) 674-4267
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-13-12797 | New Hampshire |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 344 | New Hampshire |
Profile Details
| NPI number | 1336508191 |
|---|---|
| LBN Legal business name | Grebouski, Thomas |
| Credentials | PHD, BCBA-D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2016 |
| Last updated | Jul 13th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336508191 | NPPES |
| New Hampshire | MEDICAID | 1336508191 |
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