George, Paul

George, Paul is an individual health care provider with primary practice located at 111 Brewster Street Fcc Team C, Pawtucket RI 02860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. George, Paul can be contacted via phone (401) 729-2769.

Contact Information

Primary practice address
111 Brewster Street Fcc Team C Pawtucket RI 02860
Fax: (401) 729-2772
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD12630 Rhode Island

Profile Details

NPI number 1790898328
LBN Legal business name George, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Nov 5th, 2010 - about 16 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 1790898328 NPPES
Rhode Island MEDICAID PG72804
Rhode Island Other 000701803

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