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Contact Information

PROSPECT CHARTERCARE SJHSRI, LLC
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI02904-5113
 Phone: 401-456-3000
 Fax: 401-456-3028
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for PROSPECT CHARTERCARE SJHSRI LLC · (Female)

NPI Number 1578988572
Status Active
Credentials
Entity Individual
Enumeration date 02/27/2014
Last updated 01/15/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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