Hollenbeck, Burt George

Hollenbeck, Burt George is an sole proprietor health care provider with primary practice located at 103 Roxbury St Suite 302 A, Keene NH 03431-8801. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hollenbeck, Burt George can be contacted via phone (603) 357-5600.

Contact Information

Primary practice address
103 Roxbury St Suite 302 A Keene NH 03431-8801
Phone: (603) 357-5600
Fax: (603) 357-5600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 442 New Hampshire
Behavioral Health & Social Service Providers / Forensic 103TF0200X 442 New Hampshire

Profile Details

NPI number 1285787317
LBN Legal business name Hollenbeck, Burt George
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2007
Last updated Jul 8th, 2007 - about 19 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 1285787317 NPPES
New Hampshire MEDICAID 30420988

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