Calouro, Moses
Calouro, Moses is an individual health care provider with primary practice located at 101 Bacon St , Pawtucket RI 02860-5542. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Calouro, Moses can be contacted via phone (401) 722-3560.Contact Information
Primary practice address
101 Bacon St
Pawtucket RI 02860-5542
Phone: (401) 722-3560
Fax: (401) 724-3120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCDP00083 | Rhode Island |
Profile Details
| NPI number | 1508949629 |
|---|---|
| LBN Legal business name | Calouro, Moses |
| Credentials | LCDP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1508949629 | NPPES |
| Rhode Island | MEDICAID | MC54798 |
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