Humulock, Kimberly J
Humulock, Kimberly J is an sole proprietor health care provider with primary practice located at 190 Commerce Dr , Warwick RI 02886-2430. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Humulock, Kimberly J can be contacted via phone (401) 492-1597.Contact Information
Primary practice address
190 Commerce Dr
Warwick RI 02886-2430
Phone: (401) 492-1597
Fax: (401) 921-5973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO00521 | Rhode Island |
Profile Details
| NPI number | 1831154574 |
|---|---|
| LBN Legal business name | Humulock, Kimberly J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Jan 31st, 2023 - about last year |
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 | 1831154574 | NPPES |
| Rhode Island | Other | 7936235 | AETNA HEALTH CARE |
| Rhode Island | Other | 454709 | AETNA HEALTH CARE |
| Rhode Island | Other | 04-0336 | AETNA HEALTH CARE |
| Rhode Island | Other | 407435 | AETNA HEALTH CARE |
| Rhode Island | Other | 22405-7 | AETNA HEALTH CARE |
| Rhode Island | MEDICAID | 9022405 | AETNA HEALTH CARE |
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