Child, A. Robert
Child, A. Robert is an individual health care provider with primary practice located at 1150 Reservoir Ave Ll5, Cranston RI 02920-6068. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Child, A. Robert can be contacted via phone (401) 943-8151.Contact Information
Primary practice address
1150 Reservoir Ave Ll5
Cranston RI 02920-6068
Phone: (401) 943-8151
Fax: (401) 943-1324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODTG00510 | Rhode Island |
Profile Details
| NPI number | 1366599441 |
|---|---|
| LBN Legal business name | Child, A. Robert |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Oct 14th, 2009 - 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 | 1366599441 | NPPES |
| Rhode Island | MEDICAID | 9003250 | |
| Rhode Island | MEDICAID | GC00269 | |
| Rhode Island | Other | 1295856540 |
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