Deluca, Walter

Deluca, Walter is an individual health care provider with primary practice located at 684 Warren Ave , East Providence RI 02914-1405. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Deluca, Walter can be contacted via phone (401) 434-0022.

Contact Information

Primary practice address
684 Warren Ave East Providence RI 02914-1405
Phone: (401) 434-0022
Fax: (401) 434-6111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 289 Montana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00002 Rhode Island

Profile Details

NPI number 1962598516
LBN Legal business name Deluca, Walter
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Sep 18th, 2018 - about 7 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 1962598516 NPPES
Rhode Island MEDICAID 7005920
Rhode Island Other 289
Rhode Island Other 000096303
Rhode Island Other 979006386
Rhode Island MEDICAID 0438260

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