Magnotta, Peter A
Magnotta, Peter A is an individual health care provider with primary practice located at 55 Cherry Ln , Wakefield RI 02879-3617. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Magnotta, Peter A can be contacted via phone (401) 789-1367.Contact Information
Primary practice address
55 Cherry Ln
Wakefield RI 02879-3617
Phone: (401) 789-1367
Fax: (401) 789-6744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW01343 | Rhode Island |
Profile Details
| NPI number | 1902983372 |
|---|---|
| LBN Legal business name | Magnotta, Peter A |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Feb 14th, 2008 - about 17 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 | 1902983372 | NPPES |
| Rhode Island | MEDICAID | PM29159 |
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