Eaton, Charles B.

Eaton, Charles B. is an individual health care provider with primary practice located at 111 Brewster St Department Of Family Medicine, Pawtucket RI 02860-4400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eaton, Charles B. can be contacted via phone (401) 729-2237.

Contact Information

Primary practice address
111 Brewster St Department Of Family Medicine Pawtucket RI 02860-4400
Fax: (401) 729-2923
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD07802 Rhode Island

Profile Details

NPI number 1942283841
LBN Legal business name Eaton, Charles B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated May 13th, 2010 - about 14 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 1942283841 NPPES
Rhode Island Other 007057389 MEDICARE PTAN
Rhode Island MEDICAID 9006954 MEDICARE PTAN

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