Colvin, Gerald A

Colvin, Gerald A is an individual health care provider with primary practice located at 85 Kenyon Ave , Wakefield RI 02879-4213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Colvin, Gerald A can be contacted via phone (401) 783-6670.

Contact Information

Primary practice address
85 Kenyon Ave Wakefield RI 02879-4213
Phone: (401) 783-6670
Fax: (401) 789-4990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X DO00536 Rhode Island
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 262469 New York

Profile Details

NPI number 1417954199
LBN Legal business name Colvin, Gerald A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 3rd, 2014 - about 11 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 1417954199 NPPES
Rhode Island MEDICAID GC33721

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