Burtt, Douglas M
Burtt, Douglas M is an individual health care provider with primary practice located at 208 Collyer St , Providence RI 02904-1560. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Burtt, Douglas M can be contacted via phone (401) 793-7191.Contact Information
Primary practice address
208 Collyer St
Providence RI 02904-1560
Phone: (401) 793-7191
Fax: (401) 793-7200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 54366 | Massachusetts |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD13236 | Rhode Island |
Profile Details
| NPI number | 1962449900 |
|---|---|
| LBN Legal business name | Burtt, Douglas M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Nov 16th, 2012 - about 12 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 | 1962449900 | NPPES |
| Rhode Island | MEDICAID | 9006434 |
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