Salome, Judith

Salome, Judith is an individual health care provider with primary practice located at 530 N Main St , Providence RI 02904-5762. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Salome, Judith can be contacted via phone (401) 415-8852.

Contact Information

Primary practice address
530 N Main St Providence RI 02904-5762
Phone: (401) 415-8852
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN34399 Rhode Island

Profile Details

NPI number 1104395219
LBN Legal business name Salome, Judith
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2018
Last updated Nov 19th, 2018 - about 8 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 1104395219 NPPES
Rhode Island MEDICAID 163W00000X

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