Goman Baskin, Elina

Goman Baskin, Elina is an individual health care provider with primary practice located at 50 Maude St , Providence RI 02908-4325. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Goman Baskin, Elina can be contacted via phone (401) 351-5664.

Contact Information

Primary practice address
50 Maude St Providence RI 02908-4325
Phone: (401) 351-5664
Fax: (401) 456-5726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODTA00493 Rhode Island

Profile Details

NPI number 1144270398
LBN Legal business name Goman Baskin, Elina
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144270398 NPPES
Rhode Island Other 31251-6 BLUE SHIELD
Rhode Island Other 412591 BLUE SHIELD
Rhode Island MEDICAID EG59603 BLUE SHIELD

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