Mcilvaine, Susan

Mcilvaine, Susan is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Mcilvaine, Susan can be contacted via phone (401) 444-5891.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (401) 444-5891
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 268156 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD19161 Rhode Island

Profile Details

NPI number 1770932386
LBN Legal business name Mcilvaine, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2016
Last updated May 24th, 2023 - about 3 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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