Blodgett, Pamela J
Blodgett, Pamela J is an individual health care provider with primary practice located at 1120 Tollgate Road Suite C, Warwick RI 02886. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Blodgett, Pamela J can be contacted via phone (401) 822-2020.Contact Information
Primary practice address
1120 Tollgate Road Suite C
Warwick RI 02886
Phone: (401) 822-2020
Fax: (401) 823-5852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODTA00417 | Rhode Island |
Profile Details
| NPI number | 1407853997 |
|---|---|
| LBN Legal business name | Blodgett, Pamela J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Sep 2nd, 2020 - about 4 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 | 1407853997 | NPPES |
| Rhode Island | Other | 0129360001 | MEDCIARE DME |
| Rhode Island | Other | 999995218 | MEDCIARE DME |
| Rhode Island | MEDICAID | 9007934 | MEDCIARE DME |
| Rhode Island | Other | 9924-6 | MEDCIARE DME |
| Rhode Island | Other | 203400 | MEDCIARE DME |
| Rhode Island | Other | 2816 | MEDCIARE DME |
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