Gerrein, John

Gerrein, John is an sole proprietor health care provider with primary practice located at 8 Cedar St Ste 58 , Woburn MA 01801-6362. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gerrein, John can be contacted via phone (781) 938-8641.

Contact Information

Primary practice address
8 Cedar St Ste 58 Woburn MA 01801-6362
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1981 Massachusetts

Profile Details

NPI number 1164572178
LBN Legal business name Gerrein, John
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - 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 1164572178 NPPES
Massachusetts MEDICAID 0505404

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