Genereux, Douglas Bruce

Genereux, Douglas Bruce is an sole proprietor health care provider with primary practice located at 164 Summit Ave C70, Providence RI 02906-2853. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Genereux, Douglas Bruce can be contacted via phone (401) 793-3922.

Contact Information

Primary practice address
164 Summit Ave C70 Providence RI 02906-2853
Phone: (401) 793-3922
Fax: (401) 793-7866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 199 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00199 Rhode Island

Profile Details

NPI number 1518049469
LBN Legal business name Genereux, Douglas Bruce
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Dec 27th, 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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