Lifespan Physician Group, Inc.

LBN: Lifespan Physician Group, Inc.
Lifespan Physician Group, Inc. is an health care organization with primary practice located at 593 Eddy St , Providence RI 02903-4923. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Dentist, Dietary & Nutritional Service Providers / Dietitian, Registered, Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Lifespan Physician Group, Inc. can be contacted via phone (401) 444-6779, or through Markell, Peter K via phone (401) 444-7914.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (401) 444-6779
Fax: (401) 444-6912
Website:
Map and Directions
Authorized official contact:
Name: Markell, Peter K
Phone: (401) 444-7914

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1407116643
LBN Legal business name Lifespan Physician Group, Inc.
DBA Doing business as
Authorized official Markell, Peter K
Entity Organization
Organization subpart 1 Yes
Enumeration date May 22nd, 2012
Last updated Nov 6th, 2023 - about 2 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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