Clyne, Ailis

Clyne, Ailis is an individual health care provider with primary practice located at 300 Centerville Rd The Summit East, Suite 110, Warwick RI 02886-0200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Clyne, Ailis can be contacted via phone (401) 615-2299.

Contact Information

Primary practice address
300 Centerville Rd The Summit East, Suite 110 Warwick RI 02886-0200
Phone: (401) 615-2299
Fax: (401) 615-7529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD09744 Rhode Island

Profile Details

NPI number 1902890197
LBN Legal business name Clyne, Ailis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Jun 10th, 2016 - about 8 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 1902890197 NPPES
Rhode Island MEDICAID 7006725
Rhode Island Other 0070067252

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