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Contact Information

ST. JOSEPH HEALTH SERVICES OF RI
21 PEACE ST
PROVIDENCE, RI02907-1510
 Phone: 401-456-4325
 Fax: 401-456-4250
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for ST JOSEPH HEALTH SERVICES OF RI · (Female)

NPI Number 1134264062
Status Active
Credentials
Entity Individual
Enumeration date 02/20/2007
Last updated 01/25/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • RI License # HOS00110
  • RI Medicaid SJ48636
  • RI Other 509025253 MEDICARE P-TAN
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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