Jusseaume, Scott

Jusseaume, Scott is an sole proprietor health care provider with primary practice located at 450 Brook St , Providence RI 02906-2231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jusseaume, Scott can be contacted via phone (401) 863-3953.

Contact Information

Primary practice address
450 Brook St Providence RI 02906-2231
Phone: (401) 863-3953
Fax: (401) 863-7953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 216386 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD19533 Rhode Island

Profile Details

NPI number 1013986140
LBN Legal business name Jusseaume, Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Dec 6th, 2023 - about 3 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 1013986140 NPPES
Massachusetts MEDICAID 2080222

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