Beattie, Bruce

Beattie, Bruce is an individual health care provider with primary practice located at 530 N Main St , Providence RI 02904-5762. 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. Beattie, Bruce can be contacted via phone (401) 274-2500.

Contact Information

Primary practice address
530 N Main St Providence RI 02904-5762
Phone: (401) 274-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDP00165 Rhode Island

Profile Details

NPI number 1306094164
LBN Legal business name Beattie, Bruce
Credentials LCDP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2008
Last updated Mar 27th, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306094164 NPPES
Rhode Island Other 1306094164 UBH
Rhode Island Other 1104847946 UBH
Rhode Island MEDICAID BB72702 UBH

Popular Providers