Deluca, Walter
Deluca, Walter is an individual health care provider with primary practice located at 684 Warren Ave , East Providence RI 02914-1405. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Deluca, Walter can be contacted via phone (401) 434-0022.Contact Information
Primary practice address
684 Warren Ave
East Providence RI 02914-1405
Phone: (401) 434-0022
Fax: (401) 434-6111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 289 | Montana |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA00002 | Rhode Island |
Profile Details
| NPI number | 1962598516 |
|---|---|
| LBN Legal business name | Deluca, Walter |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Sep 18th, 2018 - about 8 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 | 1962598516 | NPPES |
| Rhode Island | MEDICAID | 7005920 | |
| Rhode Island | Other | 289 | |
| Rhode Island | Other | 000096303 | |
| Rhode Island | Other | 979006386 | |
| Rhode Island | MEDICAID | 0438260 |
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