Minkoff, Kenneth
Minkoff, Kenneth is an sole proprietor health care provider with primary practice located at 100 Powdermill Rd # 319 , Acton MA 01720-5932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Psychiatry, which is considered as his primary health care specialty. Minkoff, Kenneth can be contacted via phone (978) 502-1729.Contact Information
Primary practice address
100 Powdermill Rd # 319
Acton MA 01720-5932
Phone: (978) 502-1729
Fax: (415) 455-8016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 39497 | Massachusetts |
Profile Details
| NPI number | 1033103247 |
|---|---|
| LBN Legal business name | Minkoff, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Nov 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033103247 | NPPES |
| Massachusetts | MEDICAID | 2045915 |
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