Main, Roy M

Main, Roy M is an sole proprietor health care provider with primary practice located at 6 Reed Dr , Westerly RI 02891-3934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Main, Roy M can be contacted via phone (401) 580-1788.

Contact Information

Primary practice address
6 Reed Dr Westerly RI 02891-3934
Phone: (401) 580-1788
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 031865 Connecticut

Profile Details

NPI number 1750442794
LBN Legal business name Main, Roy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated May 5th, 2015 - about 11 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 1750442794 NPPES
Connecticut MEDICAID 001318650

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