Dequattro, Rana M
Dequattro, Rana M is an sole proprietor health care provider with primary practice located at 50 Mulberry Cir , Johnston RI 02919-2503. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dequattro, Rana M can be contacted via phone (401) 465-5144.Contact Information
Primary practice address
50 Mulberry Cir
Johnston RI 02919-2503
Phone: (401) 465-5144
Fax: (401) 349-0494
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MHC00163 | Rhode Island |
Profile Details
NPI number | 1053404004 |
---|---|
LBN Legal business name | Dequattro, Rana M |
Credentials | LCMHC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 2nd, 2006 |
Last updated | Oct 18th, 2021 - about 3 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 | 1053404004 | NPPES |
Rhode Island | Other | 30267-4 | BLUECROSS |
Rhode Island | Other | 408908 | BLUECROSS |
Rhode Island | Other | 1038440 | BLUECROSS |
Rhode Island | Other | 62-27038 | BLUECROSS |
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