Moffitt, Rick

Moffitt, Rick is an individual health care provider with primary practice located at 100 Kenyon Ave , Wakefield RI 02879-4216. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Moffitt, Rick can be contacted via phone (401) 782-8010.

Contact Information

Primary practice address
100 Kenyon Ave Wakefield RI 02879-4216
Phone: (401) 782-8010
Fax: (508) 675-7905
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00003 Rhode Island

Profile Details

NPI number 1528194552
LBN Legal business name Moffitt, Rick
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 19 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 1528194552 NPPES
Rhode Island Other 30597 BCBS RI
Rhode Island Other 408389 BCBS RI
Rhode Island MEDICAID 7008700 BCBS RI

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