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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164572178 | NPPES |
Massachusetts | MEDICAID | 0505404 |
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