Kaiser, Theodore Stanton

Kaiser, Theodore Stanton is an individual health care provider with primary practice located at 530 N Main St , Providence RI 02904-5762. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Diabetes Educator. Nursing Service Providers / Diabetes Educator is his primary health care specialty. Kaiser, Theodore Stanton can be contacted via phone (401) 415-9500.

Contact Information

Primary practice address
530 N Main St Providence RI 02904-5762
Phone: (401) 415-9500
Fax: (401) 415-9515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 32575 Rhode Island
Nursing Service Providers / Diabetes Educator 163WD0400X RN32575 Rhode Island

Profile Details

NPI number 1144606369
LBN Legal business name Kaiser, Theodore Stanton
Credentials RN, CDOE
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2015
Last updated Jul 21st, 2022 - about 4 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 1144606369 NPPES
Rhode Island MEDICAID 163W00000X

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