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 Street , Providence RI 02903. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Lifespan Physician Group Inc can be contacted via phone (401) 444-7442, or through Markell, Peter K via phone (401) 444-7914.

Contact Information

Primary practice address
593 Eddy Street Providence RI 02903
Phone: (401) 444-7442
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Markell, Peter K
Phone: (401) 444-7914

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1548506793
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 Dec 17th, 2012
Last updated Apr 20th, 2023 - about last year

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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