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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740270289 NPPES
Massachusetts Other B49032 BCBS MA
Massachusetts Other 706384 BCBS MA
Massachusetts MEDICAID 2066513 BCBS MA

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