Drake, Donald

Drake, Donald is an individual health care provider with primary practice located at 58 Hamlet Ave , Woonsocket RI 02895-4423. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Drake, Donald can be contacted via phone (401) 765-4040.

Contact Information

Primary practice address
58 Hamlet Ave Woonsocket RI 02895-4423
Phone: (401) 765-4040
Fax: (401) 658-3757
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LADCI Rhode Island

Profile Details

NPI number 1386733095
LBN Legal business name Drake, Donald
Credentials LACDI
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1386733095 NPPES
Rhode Island Other 30343 SA CONTRACT

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