Kistin, Caroline J
Kistin, Caroline J is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4970. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kistin, Caroline J can be contacted via phone (401) 444-6195.Contact Information
Primary practice address
593 Eddy St
Providence RI 02903-4970
Phone: (401) 444-6195
Fax: (401) 444-6378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD18829 | Rhode Island |
Profile Details
| NPI number | 1417114059 |
|---|---|
| LBN Legal business name | Kistin, Caroline J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2008 |
| Last updated | Dec 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417114059 | NPPES |
| Massachusetts | MEDICAID | 110079849A |
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