Rubin, Jerome P
Rubin, Jerome P is an sole proprietor health care provider with primary practice located at 165 Main St Suite 213, Medway MA 02053-1584. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rubin, Jerome P can be contacted via phone (508) 277-8770.Contact Information
Primary practice address
165 Main St Suite 213
Medway MA 02053-1584
Phone: (508) 277-8770
Fax: (508) 429-1242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1020744 | Massachusetts |
Profile Details
| NPI number | 1750445409 |
|---|---|
| LBN Legal business name | Rubin, Jerome P |
| Credentials | M.ED, MSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jul 21st, 2011 - about 13 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 | 1750445409 | NPPES |
| Massachusetts | Other | 732532 | TUFTS HEALTH PLAN ID |
| Massachusetts | Other | 1012260 | TUFTS HEALTH PLAN ID |
| Massachusetts | Other | 116026000 | TUFTS HEALTH PLAN ID |
| Massachusetts | MEDICAID | 1892592 | TUFTS HEALTH PLAN ID |
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