Klonowski, Eva
Klonowski, Eva is an individual health care provider with primary practice located at 1 River St , Wakefield RI 02879-3214. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Klonowski, Eva can be contacted via phone (401) 783-0523.Contact Information
Primary practice address
1 River St
Wakefield RI 02879-3214
Phone: (401) 783-0523
Fax: (401) 783-9448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD05888 | Rhode Island |
Profile Details
| NPI number | 1700837705 |
|---|---|
| LBN Legal business name | Klonowski, Eva |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700837705 | NPPES |
| Rhode Island | Other | 29044-5 | BLUE CROSS RI |
| Rhode Island | MEDICAID | 7007420 | BLUE CROSS RI |
| Rhode Island | Other | 01-02592 | BLUE CROSS RI |
| Rhode Island | Other | 405882 | BLUE CROSS RI |
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