Boulet, Susannah

Boulet, Susannah is an individual health care provider with primary practice located at 593 Eddy St. Claverick 2, Providence RI 02903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Boulet, Susannah can be contacted via phone (401) 444-4000.

Contact Information

Primary practice address
593 Eddy St. Claverick 2 Providence RI 02903
Phone: (401) 444-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OT020113 Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DO01238 Rhode Island

Profile Details

NPI number 1811519697
LBN Legal business name Boulet, Susannah
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2020
Last updated Jun 20th, 2023 - about 2 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.

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