Gershon, Jonathan
Gershon, Jonathan is an individual health care provider with primary practice located at 889 Centerville Rd , Warwick RI 02886-4342. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gershon, Jonathan can be contacted via phone (401) 821-4100.Contact Information
Primary practice address
889 Centerville Rd
Warwick RI 02886-4342
Phone: (401) 821-4100
Fax: (401) 823-9180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS00833 | Rhode Island |
Profile Details
| NPI number | 1962528406 |
|---|---|
| LBN Legal business name | Gershon, Jonathan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Feb 2nd, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962528406 | NPPES |
| Rhode Island | Other | 0000027348 | RI BLUE CROSS PROVIDER # |
| Rhode Island | MEDICAID | JG54521 | RI BLUE CROSS PROVIDER # |
| Rhode Island | Other | 411605 | RI BLUE CROSS PROVIDER # |
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