Jennifer Souther Md Inc

LBN: Jennifer Souther Md Inc
Jennifer Souther Md Inc is an health care organization with primary practice located at 30 Martin St Unit 30A, Cumberland RI 02864-5321. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jennifer Souther Md Inc can be contacted via phone (401) 334-4500, or through Russo, Caryn via phone (401) 334-4500.

Contact Information

Primary practice address
30 Martin St Unit 30A Cumberland RI 02864-5321
Phone: (401) 334-4500
Fax: (401) 312-0096
Website:
Map and Directions
Authorized official contact:
Name: Russo, Caryn
Phone: (401) 334-4500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD10848 Rhode Island

Profile Details

NPI number 1346394616
LBN Legal business name Jennifer Souther Md Inc
DBA Doing business as
Authorized official Russo, Caryn
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346394616 NPPES
Rhode Island Other 01-02493 UNITED HEALTH CARE
Rhode Island Other 32087-4 UNITED HEALTH CARE
Rhode Island Other 409677 UNITED HEALTH CARE
Rhode Island Other 12001018 UNITED HEALTH CARE
Rhode Island Other MD10848 UNITED HEALTH CARE
Rhode Island Other AA242 UNITED HEALTH CARE

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