Herrera, Jose I

Herrera, Jose I is an individual health care provider with primary practice located at 200 High Service Ave , North Providence RI 02904-5113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Herrera, Jose I can be contacted via phone (401) 456-3136.

Contact Information

Primary practice address
200 High Service Ave North Providence RI 02904-5113
Fax: (401) 456-3621
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD07625 Rhode Island

Profile Details

NPI number 1831148055
LBN Legal business name Herrera, Jose I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Jan 28th, 2010 - about 15 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 1831148055 NPPES
Rhode Island MEDICAID 7002964

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