Gartman, Eric
Gartman, Eric is an individual health care provider with primary practice located at 111 Brewster Street , Pawtucket RI 02860. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gartman, Eric can be contacted via phone (401) 729-2636.Contact Information
Primary practice address
111 Brewster Street
Pawtucket RI 02860
Phone: (401) 729-2636
Fax: (401) 729-2157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD12352 | Rhode Island |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD12352 | Rhode Island |
Profile Details
| NPI number | 1679798292 |
|---|---|
| LBN Legal business name | Gartman, Eric |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Sep 12th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679798292 | NPPES |
| Rhode Island | Other | 002175301 | MEDICARE PTAN |
| Rhode Island | MEDICAID | EG84593 | MEDICARE PTAN |
| Rhode Island | MEDICAID | 110089627A | MEDICARE PTAN |
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