Louangxay, Phathsady

Louangxay, Phathsady is an individual health care provider with primary practice located at 164 Summit Ave # C70 , Providence RI 02906-2853. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Louangxay, Phathsady can be contacted via phone (401) 793-4545.

Contact Information

Primary practice address
164 Summit Ave # C70 Providence RI 02906-2853
Phone: (401) 793-4545
Fax: (401) 793-7866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 00356 Rhode Island

Profile Details

NPI number 1174586671
LBN Legal business name Louangxay, Phathsady
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Feb 18th, 2021 - about 5 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 1174586671 NPPES
Rhode Island Other 1396864542 NPI KENT HOSPITAL PBO
Rhode Island MEDICAID 9004070 NPI KENT HOSPITAL PBO

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