Magee, Susanna R

Magee, Susanna R is an individual health care provider with primary practice located at 111 Brewster St Family Care Center, Pawtucket RI 02860-4400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Magee, Susanna R can be contacted via phone (401) 729-2206.

Contact Information

Primary practice address
111 Brewster St Family Care Center Pawtucket RI 02860-4400
Fax: (401) 729-3495
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD10534 Rhode Island

Profile Details

NPI number 1487638003
LBN Legal business name Magee, Susanna R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated May 17th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487638003 NPPES
Rhode Island Other 007061049 MEDICARE PTAN
Rhode Island MEDICAID 7009042 MEDICARE PTAN

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