Ericksonowens, Debra A

Ericksonowens, Debra A is an individual health care provider with primary practice located at 1 Randall Sq Suite 205, Providence RI 02904-2709. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Ericksonowens, Debra A can be contacted via phone (401) 331-6980.

Contact Information

Primary practice address
1 Randall Sq Suite 205 Providence RI 02904-2709
Phone: (401) 331-6980
Fax: (401) 331-6181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X MW00082 Rhode Island

Profile Details

NPI number 1184773210
LBN Legal business name Ericksonowens, Debra A
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 22nd, 2013 - about 12 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 1184773210 NPPES
Rhode Island MEDICAID 7007343
Rhode Island Other 411803
Rhode Island Other 411833
Rhode Island Other 411813

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