Adelson-Mitty, Jennifer R

Adelson-Mitty, Jennifer R is an individual health care provider with primary practice located at 164 Summit Ave Fain Bldg, Suite E, Providence RI 02906-2853. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Adelson-Mitty, Jennifer R can be contacted via phone (401) 793-2928.

Contact Information

Primary practice address
164 Summit Ave Fain Bldg, Suite E Providence RI 02906-2853
Fax: (401) 793-7401
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD09548 Rhode Island

Profile Details

NPI number 1700830924
LBN Legal business name Adelson-Mitty, Jennifer R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jul 26th, 2016 - 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 1700830924 NPPES
Rhode Island Other 100016524 RAILROAD MEDICARE
Rhode Island MEDICAID 7005910 RAILROAD MEDICARE

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