Jelley, Graham C.

Jelley, Graham C. is an sole proprietor health care provider with primary practice located at 172 E Cushing St , Providence RI 02906-2255. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jelley, Graham C. can be contacted via phone (401) 273-7736.

Contact Information

Primary practice address
172 E Cushing St Providence RI 02906-2255
Phone: (401) 273-7736
Fax: (401) 273-7736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS00381 Rhode Island

Profile Details

NPI number 1659402956
LBN Legal business name Jelley, Graham C.
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 18 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 1659402956 NPPES
Rhode Island Other 35673 BCBS OF RI
Rhode Island Other R002968 BCBS OF RI
Rhode Island MEDICAID GJ57242 BCBS OF RI

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