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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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