Conca, Mary

Conca, Mary is an individual health care provider with primary practice located at 530 N Main St , Providence RI 02904-5762. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Conca, Mary can be contacted via phone (401) 274-2500.

Contact Information

Primary practice address
530 N Main St Providence RI 02904-5762
Phone: (401) 274-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN16492 Rhode Island

Profile Details

NPI number 1568403566
LBN Legal business name Conca, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2008 - about 16 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 1568403566 NPPES
Rhode Island MEDICAID MC03524

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