Jusseaume, Scott
Jusseaume, Scott is an sole proprietor health care provider with primary practice located at 450 Brook St , Providence RI 02906-2231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jusseaume, Scott can be contacted via phone (401) 863-3953.Contact Information
Primary practice address
450 Brook St
Providence RI 02906-2231
Phone: (401) 863-3953
Fax: (401) 863-7953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 216386 | Massachusetts |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD19533 | Rhode Island |
Profile Details
| NPI number | 1013986140 |
|---|---|
| LBN Legal business name | Jusseaume, Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Dec 6th, 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 | 1013986140 | NPPES |
| Massachusetts | MEDICAID | 2080222 |
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