Mignacca, Steven A

Mignacca, Steven A is an sole proprietor health care provider with primary practice located at 697 Willett Ave , Riverside RI 02915-2642. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mignacca, Steven A can be contacted via phone (401) 228-7678.

Contact Information

Primary practice address
697 Willett Ave Riverside RI 02915-2642
Phone: (401) 228-7678
Fax: (401) 228-7681
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT01117 Rhode Island

Profile Details

NPI number 1952441776
LBN Legal business name Mignacca, Steven A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Dec 14th, 2012 - about 14 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 1952441776 NPPES
Rhode Island Other PT01117 STATE LICENSE NUMBER
Rhode Island Other 0015873 STATE LICENSE NUMBER

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