Andersen, Gregory
Andersen, Gregory is an sole proprietor health care provider with primary practice located at 350 Columbia St , Wakefield RI 02879-2494. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Andersen, Gregory can be contacted via phone (401) 789-0934.Contact Information
Primary practice address
350 Columbia St
Wakefield RI 02879-2494
Phone: (401) 789-0934
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDP00478 | Rhode Island |
Profile Details
NPI number | 1396141644 |
---|---|
LBN Legal business name | Andersen, Gregory |
Credentials | BA LCDP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 14th, 2014 |
Last updated | Nov 14th, 2014 - 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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