Blecker, Douglas L
Blecker, Douglas L is an individual health care provider with primary practice located at 111 Plain St 2Nd Floor, Providence RI 02903-4816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Blecker, Douglas L can be contacted via phone (401) 444-1770.Contact Information
Primary practice address
111 Plain St 2Nd Floor
Providence RI 02903-4816
Phone: (401) 444-1770
Fax: (401) 444-3658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD11204 | Rhode Island |
Profile Details
| NPI number | 1538106240 |
|---|---|
| LBN Legal business name | Blecker, Douglas L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | May 29th, 2008 - about 18 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 | 1538106240 | NPPES |
| Rhode Island | MEDICAID | 9025796 | |
| Rhode Island | Other | P00044124 |
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