Grush, Lynn Ruth
Grush, Lynn Ruth is an sole proprietor health care provider with primary practice located at 1340 Centre St Ste 204, Newton Center MA 02459. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Grush, Lynn Ruth can be contacted via phone (617) 795-7130.Contact Information
Primary practice address
1340 Centre St Ste 204
Newton Center MA 02459
Phone: (617) 795-7130
Fax: (617) 795-0953
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 76631 | Massachusetts |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 76631 | Massachusetts |
Profile Details
NPI number | 1245205053 |
---|---|
LBN Legal business name | Grush, Lynn Ruth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 23rd, 2006 |
Last updated | Aug 13th, 2009 - about 15 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 | 1245205053 | NPPES |
Massachusetts | MEDICAID | 3182509 | |
Massachusetts | Other | J19237 | |
Massachusetts | Other | 760741 |
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