Rudin, Stephen Gerald
Rudin, Stephen Gerald is an sole proprietor health care provider with primary practice located at 1342 Belmont St Suite 204, Brockton MA 02301-4436. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rudin, Stephen Gerald can be contacted via phone (508) 427-6911.Contact Information
Primary practice address
1342 Belmont St Suite 204
Brockton MA 02301-4436
Phone: (508) 427-6911
Fax: (508) 588-4639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY-635-PR | Massachusetts |
Profile Details
| NPI number | 1609962976 |
|---|---|
| LBN Legal business name | Rudin, Stephen Gerald |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| 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 | 1609962976 | NPPES |
| Massachusetts | Other | 290594 | MENTAL HEALTH NETWORK MHN |
| Massachusetts | Other | W01468 | MENTAL HEALTH NETWORK MHN |
| Massachusetts | Other | 42279 | MENTAL HEALTH NETWORK MHN |
| Massachusetts | Other | 732869 | MENTAL HEALTH NETWORK MHN |
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