Colavecchio, Louis Vincent

Colavecchio, Louis Vincent is an individual health care provider with primary practice located at 360 Kingstown Rd , Narragansett RI 02882-3239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Colavecchio, Louis Vincent can be contacted via phone (401) 789-9911.

Contact Information

Primary practice address
360 Kingstown Rd Narragansett RI 02882-3239
Fax: (401) 789-3106
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 5440 Rhode Island

Profile Details

NPI number 1972597003
LBN Legal business name Colavecchio, Louis Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2005
Last updated Jul 8th, 2007 - about 17 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 1972597003 NPPES
Other 0300142 UNITED HEALTHCARE
MEDICAID LC00179 UNITED HEALTHCARE
Other 766-1 UNITED HEALTHCARE
Other 000491 UNITED HEALTHCARE

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