Brissette, Pamela M

Brissette, Pamela M is an individual health care provider with primary practice located at 164 Summit Ave # C70 , Providence RI 02906-2853. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Brissette, Pamela M can be contacted via phone (401) 793-4545.

Contact Information

Primary practice address
164 Summit Ave # C70 Providence RI 02906-2853
Phone: (401) 793-4545
Fax: (401) 793-7866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00147 Rhode Island

Profile Details

NPI number 1972570182
LBN Legal business name Brissette, Pamela M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jan 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972570182 NPPES
Rhode Island Other 27118-1 BLUE CROSS
Rhode Island Other 411429 BLUE CROSS

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