Durst, William

Durst, William is an individual health care provider with primary practice located at 200 High Service Ave , North Providence RI 02904-5113. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Durst, William can be contacted via phone (401) 456-3402.

Contact Information

Primary practice address
200 High Service Ave North Providence RI 02904-5113
Phone: (401) 456-3402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00028 Rhode Island

Profile Details

NPI number 1164481537
LBN Legal business name Durst, William
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Feb 14th, 2012 - about 13 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 1164481537 NPPES
Rhode Island Other 411611 BLUE CHIP
Rhode Island MEDICAID 9003979 BLUE CHIP
Rhode Island Other P00216522 BLUE CHIP
Rhode Island Other 27355-0 BLUE CHIP

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