Brusini, Jeffrey R.

Brusini, Jeffrey R. is an sole proprietor health care provider with primary practice located at 23 North Rd A-23 , Peace Dale RI 02879. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Brusini, Jeffrey R. can be contacted via phone (401) 831-6277.

Contact Information

Primary practice address
23 North Rd A-23 Peace Dale RI 02879
Phone: (401) 831-6277
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS01761 Rhode Island
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS01761 Rhode Island

Profile Details

NPI number 1801955547
LBN Legal business name Brusini, Jeffrey R.
Credentials D.BH., ESQ.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2006
Last updated Mar 31st, 2022 - about 3 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 1801955547 NPPES
Rhode Island MEDICAID JB00075
Rhode Island Other 11549500

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