Ambrad, Jamiel J
Ambrad, Jamiel J is an sole proprietor health care provider with primary practice located at 730 Kingstown Rd Unit B5, Wakefield RI 02879-3011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ambrad, Jamiel J can be contacted via phone (401) 783-1022.Contact Information
Primary practice address
730 Kingstown Rd Unit B5
Wakefield RI 02879-3011
Phone: (401) 783-1022
Fax: (401) 783-4004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 214029 | Massachusetts |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD10880 | Rhode Island |
Profile Details
| NPI number | 1720076011 |
|---|---|
| LBN Legal business name | Ambrad, Jamiel J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Jan 13th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720076011 | NPPES |
| Rhode Island | MEDICAID | JA84304 |
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