Grullon, Juan

Grullon, Juan is an sole proprietor health care provider with primary practice located at 302 Eustis St , Roxbury MA 02119-3800. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Grullon, Juan can be contacted via phone (617) 445-1123.

Contact Information

Primary practice address
302 Eustis St Roxbury MA 02119-3800
Phone: (617) 445-1123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1104320357
LBN Legal business name Grullon, Juan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2018
Last updated Mar 22nd, 2018 - about 7 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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