Paesano, Eric

Paesano, Eric is an individual health care provider with primary practice located at 82 Pond St , Pawtucket RI 02860-4462. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Paesano, Eric can be contacted via phone (401) 365-6103.

Contact Information

Primary practice address
82 Pond St Pawtucket RI 02860-4462
Phone: (401) 365-6103
Fax: (401) 365-6123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW00952 Rhode Island
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01917 Rhode Island

Profile Details

NPI number 1306065081
LBN Legal business name Paesano, Eric
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Sep 10th, 2008 - about 15 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 1306065081 NPPES
Rhode Island MEDICAID GH57134

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