Dufresne, John R.

Dufresne, John R. is an sole proprietor health care provider with primary practice located at 1150 Reservoir Ave Suite 100, Cranston RI 02920-6068. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Dufresne, John R. can be contacted via phone (401) 946-2400.

Contact Information

Primary practice address
1150 Reservoir Ave Suite 100 Cranston RI 02920-6068
Phone: (401) 946-2400
Fax: (401) 946-0107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NPP37176 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NPP37176 Rhode Island

Profile Details

NPI number 1699740720
LBN Legal business name Dufresne, John R.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2006
Last updated Nov 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699740720 NPPES
Rhode Island Other 24007-5 BLUECROSS BLUESHIELD
Rhode Island Other 409038 BLUECROSS BLUESHIELD
Rhode Island MEDICAID 7057318 BLUECROSS BLUESHIELD
Rhode Island Other P00217750 BLUECROSS BLUESHIELD

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