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Contact Information

LEONARD R BERTHEAU, DO
111 BREWSTER ST
PAWTUCKET, RI02860-4400
 Phone: 401-729-2304
 Fax: 401-729-2923
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetology

207QD0401X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for LEONARD R BERTHEAU · (Male)

NPI Number 1912079500
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/15/2006
Last updated 12/18/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • RI License # DO01307
Hospital affiliation(s)
  • ADVENTIST MEDICAL CENTER - (Acute Care)
    10123 SE MARKET STREET
    PORTLAND, OR 97216
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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