Andoscia, Jessie
Andoscia, Jessie is an individual health care provider with primary practice located at 1700 Cranston St , Cranston RI 02920-5038. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Andoscia, Jessie can be contacted via phone (401) 223-0230.Contact Information
Primary practice address
1700 Cranston St
Cranston RI 02920-5038
Phone: (401) 223-0230
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | PTA01271 | Rhode Island |
Profile Details
| NPI number | 1699399147 |
|---|---|
| LBN Legal business name | Andoscia, Jessie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2020 |
| Last updated | Jun 1st, 2020 - about 5 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 | 1699399147 | NPPES |
| Rhode Island | MEDICAID | PTA01271 |
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