Reardon, Edward Vincent

Reardon, Edward Vincent is an individual health care provider with primary practice located at 1050 Warwick Ave , Warwick RI 02888-3655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Reardon, Edward Vincent can be contacted via phone (401) 467-6257.

Contact Information

Primary practice address
1050 Warwick Ave Warwick RI 02888-3655
Fax: (401) 785-1191
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X DO000389 Rhode Island

Profile Details

NPI number 1760488449
LBN Legal business name Reardon, Edward Vincent
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jan 28th, 2013 - about 13 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 1760488449 NPPES
Rhode Island MEDICAID 9003066

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