Kulik, Taresa

Kulik, Taresa is an individual health care provider with primary practice located at 593 Eddy St Suite 443, Providence RI 02903-4923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Kulik, Taresa can be contacted via phone (401) 453-9625.

Contact Information

Primary practice address
593 Eddy St Suite 443 Providence RI 02903-4923
Phone: (401) 453-9625
Fax: (401) 435-7069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00012 Rhode Island

Profile Details

NPI number 1942282942
LBN Legal business name Kulik, Taresa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jan 29th, 2020 - about 6 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 1942282942 NPPES
Rhode Island MEDICAID 1942282

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