Waxman, Michael J

Waxman, Michael J is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Waxman, Michael J can be contacted via phone (401) 519-1604.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (401) 519-1604
Fax: (401) 272-0538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD12085 Rhode Island

Profile Details

NPI number 1518904481
LBN Legal business name Waxman, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Feb 5th, 2010 - 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 1518904481 NPPES
Rhode Island Other 04/15/2009 UNITED HEALTH CARE
Rhode Island Other 1518904481 UNITED HEALTH CARE
Rhode Island MEDICAID 7058603 UNITED HEALTH CARE
Rhode Island Other 07/09/2009 UNITED HEALTH CARE
Rhode Island Other 12/29/2008 UNITED HEALTH CARE
Rhode Island Other 939025129 UNITED HEALTH CARE
Rhode Island Other 413466 UNITED HEALTH CARE
Rhode Island MEDICAID 2122391 UNITED HEALTH CARE

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