Bermudez, Maria A
Bermudez, Maria A is an individual health care provider with primary practice located at 42 Park Place , Pawtucket RI 02860. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bermudez, Maria A can be contacted via phone (401) 729-0080.Contact Information
Primary practice address
42 Park Place
Pawtucket RI 02860
Phone: (401) 729-0080
Fax: (401) 729-0438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 00184 | Rhode Island |
Profile Details
| NPI number | 1578588166 |
|---|---|
| LBN Legal business name | Bermudez, Maria A |
| Credentials | PHYSICIAN ASST PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jun 1st, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578588166 | NPPES |
| Other | 404960 | BCHIP | |
| Other | 30677 | BCHIP |
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