Shrum, Rebecca A.
Shrum, Rebecca A. is an individual health care provider with primary practice located at 1844B Massachusetts Ave , Lexington MA 02420-5331. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shrum, Rebecca A. can be contacted via phone (781) 863-8489.Contact Information
Primary practice address
1844B Massachusetts Ave
Lexington MA 02420-5331
Phone: (781) 863-8489
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6102 | Massachusetts |
Profile Details
| NPI number | 1063493112 |
|---|---|
| LBN Legal business name | Shrum, Rebecca A. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| 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 | 1063493112 | NPPES |
| Massachusetts | Other | W04875 | BLUECROSS/BLUESHIELD MA |
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