Colagiovanni, Steven Marc
Colagiovanni, Steven Marc is an individual health care provider with primary practice located at 1524 Atwood Ave Suite 322, Johnston RI 02919-3228. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Colagiovanni, Steven Marc can be contacted via phone (401) 331-7400.Contact Information
Primary practice address
1524 Atwood Ave Suite 322
Johnston RI 02919-3228
Phone: (401) 331-7400
Fax: (401) 331-7410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD08650 | Rhode Island |
Profile Details
| NPI number | 1780623470 |
|---|---|
| LBN Legal business name | Colagiovanni, Steven Marc |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 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 | 1780623470 | NPPES |
| Rhode Island | MEDICAID | SC08504 |
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