Boisvert, Jacqueline A.
Boisvert, Jacqueline A. is an sole proprietor health care provider with primary practice located at 74 Frenchtown Rd , North Kingstown RI 02852-1758. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Boisvert, Jacqueline A. can be contacted via phone (401) 862-3072.Contact Information
Primary practice address
74 Frenchtown Rd
North Kingstown RI 02852-1758
Phone: (401) 862-3072
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODTG00519 | Rhode Island |
Profile Details
| NPI number | 1396815692 |
|---|---|
| LBN Legal business name | Boisvert, Jacqueline A. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Sep 15th, 2014 - about 11 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 | 1396815692 | NPPES |
| Rhode Island | MEDICAID | 9007984 |
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