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Contact Information

JASON PELLETIER, PA-C
593 EDDY ST STE 101
PROVIDENCE, RI02903-4923
 Phone: 014-447-5854
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JASON PELLETIER · (Male)

NPI Number 1518003474
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/29/2007
Last updated 11/10/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • RI License # PA01510
Hospital affiliation(s)
  • LAHEY CLINIC HOSPITAL - (Acute Care)
    41 & 45 MALL ROAD
    BURLINGTON, MA 01803
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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