Berrol, Amy
Berrol, Amy is an individual health care provider with primary practice located at 70 Kenyon Ave Suite 215, Wakefield RI 02879-4239. 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. Berrol, Amy can be contacted via phone (401) 783-0084.Contact Information
Primary practice address
70 Kenyon Ave Suite 215
Wakefield RI 02879-4239
Phone: (401) 783-0084
Fax: (401) 782-0005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00182 | Rhode Island |
Profile Details
| NPI number | 1154316370 |
|---|---|
| LBN Legal business name | Berrol, Amy |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Sep 16th, 2013 - about 13 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 | 1154316370 | NPPES |
| Rhode Island | MEDICAID | 9003699 | |
| Rhode Island | Other | 979003699 | |
| Rhode Island | Other | 709004434 | |
| Rhode Island | MEDICAID | 9003699 |
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