Snow, Bethany S

Snow, Bethany S is an individual health care provider with primary practice located at 111 Brewster Street , Pawtucket RI 02860-4400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Snow, Bethany S can be contacted via phone (401) 729-2419.

Contact Information

Primary practice address
111 Brewster Street Pawtucket RI 02860-4400
Phone: (401) 729-2419
Fax: (401) 729-2517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4077 Massachusetts

Profile Details

NPI number 1528368354
LBN Legal business name Snow, Bethany S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2010
Last updated Dec 9th, 2015 - about 11 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 1528368354 NPPES
Rhode Island MEDICAID BS84271
Rhode Island Other 001937701

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