Kohlbrenner, Robert Joseph
Kohlbrenner, Robert Joseph is an sole proprietor health care provider with primary practice located at 6838 E Genesee St , Fayetteville NY 13066-1029. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Kohlbrenner, Robert Joseph can be contacted via phone (315) 727-0476.Contact Information
Primary practice address
6838 E Genesee St
Fayetteville NY 13066-1029
Phone: (315) 727-0476
Fax: (315) 656-3079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 10758-1 | New York |
Profile Details
| NPI number | 1427176023 |
|---|---|
| LBN Legal business name | Kohlbrenner, Robert Joseph |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427176023 | NPPES |
| New York | MEDICAID | 01262000 |
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