Fravala, Kenneth W

Fravala, Kenneth W is an individual health care provider with primary practice located at 166 Mishnock Rd , West Greenwich RI 02817-1669. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as his primary health care specialty. Fravala, Kenneth W can be contacted via phone (401) 397-7353.

Contact Information

Primary practice address
166 Mishnock Rd West Greenwich RI 02817-1669
Phone: (401) 397-7353
Fax: (401) 397-9030
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 12469 Rhode Island

Profile Details

NPI number 1093736936
LBN Legal business name Fravala, Kenneth W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1093736936 NPPES
Rhode Island Other 0000007822 RI BLUE CROSS
Rhode Island Other BQ409256 RI BLUE CROSS
Rhode Island MEDICAID 9007822 RI BLUE CROSS

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