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Contact Information

CHANTEL BANNERMAN, BACHELORS
101 BACON ST
PAWTUCKET, RI02860-5542
 Phone: 401-724-8400
 Fax: 401-722-5280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for CHANTEL BANNERMAN · (Female)

NPI # 1487085890
Status Active
Credentials BACHELORS
Entity Individual
Enumeration date 12/11/2013
Last updated 12/11/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • RI Medicaid GH57134
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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