Main Street Family Practice

LBN: John L Bossian
Main Street Family Practice is an health care organization with primary practice located at 66 Main St , Wakefield RI 02879-3555. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. John L Bossian can be contacted via phone (401) 789-1600, or through Bossian, John Leon via phone (401) 789-1600.

Contact Information

Primary practice address
66 Main St Wakefield RI 02879-3555
Phone: (401) 789-1600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bossian, John Leon Doctor of Osteopathy (DO)
Phone: (401) 789-1600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO0391 Rhode Island

Profile Details

NPI number 1922120054
LBN Legal business name John L Bossian
DBA Doing business as Main Street Family Practice
Authorized official Bossian, John Leon Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2007
Last updated Jun 17th, 2008 - about 18 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 1922120054 NPPES
Rhode Island Other MS46923 OTHER
Rhode Island MEDICAID MS46923 OTHER

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