Pakula, Susan L
Pakula, Susan L is an individual health care provider with primary practice located at 1 Commerce St Pediatrics, Lincoln RI 02865-1168. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Pakula, Susan L can be contacted via phone (401) 793-8484.Contact Information
Primary practice address
1 Commerce St Pediatrics
Lincoln RI 02865-1168
Phone: (401) 793-8484
Fax: (401) 793-8481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MD05525 | Rhode Island |
Profile Details
| NPI number | 1285630947 |
|---|---|
| LBN Legal business name | Pakula, Susan L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jul 21st, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285630947 | NPPES |
| Rhode Island | MEDICAID | 7003061 | |
| Rhode Island | MEDICAID | 2067871 |
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