Kanner, Steven R
Kanner, Steven R is an individual health care provider with primary practice located at 210 Bear Hill Rd Suite 304, Waltham MA 02451-1025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kanner, Steven R can be contacted via phone (781) 684-0600.Contact Information
Primary practice address
210 Bear Hill Rd Suite 304
Waltham MA 02451-1025
Phone: (781) 684-0600
Fax: (781) 684-0601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36451 | Massachusetts |
Profile Details
| NPI number | 1740270289 |
|---|---|
| LBN Legal business name | Kanner, Steven R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Sep 15th, 2009 - about 17 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 | 1740270289 | NPPES |
| Massachusetts | Other | B49032 | BCBS MA |
| Massachusetts | Other | 706384 | BCBS MA |
| Massachusetts | MEDICAID | 2066513 | BCBS MA |
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