Kulik, Taresa
Kulik, Taresa is an individual health care provider with primary practice located at 593 Eddy St Suite 443, Providence RI 02903-4923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Kulik, Taresa can be contacted via phone (401) 453-9625.Contact Information
Primary practice address
593 Eddy St Suite 443
Providence RI 02903-4923
Phone: (401) 453-9625
Fax: (401) 435-7069
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA00012 | Rhode Island |
Profile Details
NPI number | 1942282942 |
---|---|
LBN Legal business name | Kulik, Taresa |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 16th, 2005 |
Last updated | Jan 29th, 2020 - about 4 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 | 1942282942 | NPPES |
Rhode Island | MEDICAID | 1942282 |
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