Disalvia Mcweeney, Lee

Disalvia Mcweeney, Lee is an individual health care provider with primary practice located at 1516 Atwood Ave , Johnston RI 02919-3223. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Disalvia Mcweeney, Lee can be contacted via phone (401) 785-2666.

Contact Information

Primary practice address
1516 Atwood Ave Johnston RI 02919-3223
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1912458043
LBN Legal business name Disalvia Mcweeney, Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2016
Last updated Oct 24th, 2016 - about 9 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 1912458043 NPPES
Rhode Island MEDICAID 05-0512073
Rhode Island MEDICAID RI56852

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