Wold, Marshall Benjamin

Wold, Marshall Benjamin is an sole proprietor health care provider with primary practice located at 610 Wampanoag Trl , Riverside RI 02915-1504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Wold, Marshall Benjamin can be contacted via phone (401) 431-9870.

Contact Information

Primary practice address
610 Wampanoag Trl Riverside RI 02915-1504
Phone: (401) 431-9870
Fax: (401) 435-7486
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD10337 Rhode Island

Profile Details

NPI number 1396728200
LBN Legal business name Wold, Marshall Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2005
Last updated Nov 28th, 2023 - about 3 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 1396728200 NPPES
Rhode Island Other 25677-7 BC/BS OF RI
Rhode Island Other 15-61526 BC/BS OF RI
Rhode Island Other 408303 BC/BS OF RI
Rhode Island MEDICAID 7058679 BC/BS OF RI

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