Iacono, Susan M

Iacono, Susan M is an individual health care provider with primary practice located at 1000 Eddy St , Providence RI 02905-4739. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Iacono, Susan M can be contacted via phone (401) 533-9100.

Contact Information

Primary practice address
1000 Eddy St Providence RI 02905-4739
Phone: (401) 533-9100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1205159217
LBN Legal business name Iacono, Susan M
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2010
Last updated Mar 4th, 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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