Levrault, Richard Norman

Levrault, Richard Norman is an sole proprietor health care provider with primary practice located at 164 Summit Ave , Providence RI 02906-2853. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Levrault, Richard Norman can be contacted via phone (401) 793-4501.

Contact Information

Primary practice address
164 Summit Ave Providence RI 02906-2853
Phone: (401) 793-4501
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 225338 Massachusetts
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 225338 Massachusetts

Profile Details

NPI number 1487606869
LBN Legal business name Levrault, Richard Norman
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Jun 8th, 2016 - about 10 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 1487606869 NPPES
Massachusetts MEDICAID 2110041
Massachusetts MEDICAID 110041575A

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