Klebanoff, Harry E

Klebanoff, Harry E is an individual health care provider with primary practice located at 115 Main St Suite 2D, North Easton MA 02356-1468. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Klebanoff, Harry E can be contacted via phone (508) 238-7766.

Contact Information

Primary practice address
115 Main St Suite 2D North Easton MA 02356-1468
Phone: (508) 238-7766
Fax: (508) 230-5089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1796 Massachusetts

Profile Details

NPI number 1144262445
LBN Legal business name Klebanoff, Harry E
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Oct 25th, 2010 - about 16 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 1144262445 NPPES
Massachusetts Other WO1950 BC BS OF MASSACHUSETTS
Massachusetts MEDICAID 1899317 BC BS OF MASSACHUSETTS
Massachusetts Other 712921 BC BS OF MASSACHUSETTS

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