Provider Demographics
NPI:1043802622
Name:INBAR, ERIK
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:INBAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 COMMON ST # 301
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-3308
Mailing Address - Country:US
Mailing Address - Phone:207-450-3793
Mailing Address - Fax:
Practice Address - Street 1:6 COMMON ST # 301
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-3308
Practice Address - Country:US
Practice Address - Phone:207-450-3793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC227191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical