Barraza, Angel

Barraza, Angel is an individual health care provider with primary practice located at 51 Clay St , Central Falls RI 02863-3029. 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. Barraza, Angel can be contacted via phone (401) 726-8080.

Contact Information

Primary practice address
51 Clay St Central Falls RI 02863-3029
Fax: (401) 726-8087
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDP00243 Rhode Island

Profile Details

NPI number 1205919529
LBN Legal business name Barraza, Angel
Credentials LCDP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1205919529 NPPES
Rhode Island Other 30343 BC SUBSTANCE

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