Dufresne, John R.
Dufresne, John R. is an sole proprietor health care provider with primary practice located at 1150 Reservoir Ave Suite 100, Cranston RI 02920-6068. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Dufresne, John R. can be contacted via phone (401) 946-2400.Contact Information
Primary practice address
1150 Reservoir Ave Suite 100
Cranston RI 02920-6068
Phone: (401) 946-2400
Fax: (401) 946-0107
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NPP37176 | Rhode Island |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NPP37176 | Rhode Island |
Profile Details
NPI number | 1699740720 |
---|---|
LBN Legal business name | Dufresne, John R. |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 22nd, 2006 |
Last updated | Nov 29th, 2018 - about 6 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 | 1699740720 | NPPES |
Rhode Island | Other | 24007-5 | BLUECROSS BLUESHIELD |
Rhode Island | Other | 409038 | BLUECROSS BLUESHIELD |
Rhode Island | MEDICAID | 7057318 | BLUECROSS BLUESHIELD |
Rhode Island | Other | P00217750 | BLUECROSS BLUESHIELD |
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