Chabot, Stephen L
Chabot, Stephen L is an individual health care provider with primary practice located at 101 Bacon St , Pawtucket RI 02860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Chabot, Stephen L can be contacted via phone (401) 722-3560.Contact Information
Primary practice address
101 Bacon St
Pawtucket RI 02860
Phone: (401) 722-3560
Fax: (401) 724-3120
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD 06763 | Rhode Island |
Profile Details
NPI number | 1609847078 |
---|---|
LBN Legal business name | Chabot, Stephen L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 1st, 2006 |
Last updated | Dec 21st, 2010 - about 15 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 | 1609847078 | NPPES |
Rhode Island | MEDICAID | SC03683 |
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