Dimuccio, Jacquelynn M
Dimuccio, Jacquelynn M is an individual health care provider with primary practice located at 1150 Reservoir Ave Ste 203 , Cranston RI 02920-6043. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dimuccio, Jacquelynn M can be contacted via phone (401) 259-0340.Contact Information
Primary practice address
1150 Reservoir Ave Ste 203
Cranston RI 02920-6043
Phone: (401) 259-0340
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA01239 | Rhode Island |
Profile Details
| NPI number | 1275155574 |
|---|---|
| LBN Legal business name | Dimuccio, Jacquelynn M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2020 |
| Last updated | Oct 6th, 2020 - about 4 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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