Gruen, Elliot J

Gruen, Elliot J is an individual health care provider with primary practice located at 100 Campus Ave Suite 208, Lewiston ME 04240-6040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gruen, Elliot J can be contacted via phone (207) 777-8974.

Contact Information

Primary practice address
100 Campus Ave Suite 208 Lewiston ME 04240-6040
Fax: (207) 777-8946
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 1457 Maine

Profile Details

NPI number 1295760106
LBN Legal business name Gruen, Elliot J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Feb 25th, 2021 - about 3 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 1295760106 NPPES
Maine MEDICAID 287190099

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