Badessa, John
Badessa, John is an sole proprietor health care provider with primary practice located at 100 Kimberly Ln , West Warwick RI 02893-7420. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Badessa, John can be contacted via phone (401) 489-4356.Contact Information
Primary practice address
100 Kimberly Ln
West Warwick RI 02893-7420
Phone: (401) 489-4356
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OTA00238-G | Rhode Island |
Profile Details
| NPI number | 1376981910 |
|---|---|
| LBN Legal business name | Badessa, John |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2013 |
| Last updated | Jun 5th, 2013 - 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 | 1376981910 | NPPES |
| Rhode Island | Other | OTA00238-G | COTA |
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