Marion, Loretta M.

Marion, Loretta M. is an individual health care provider with primary practice located at 355 Prairie Ave , Providence RI 02905-1928. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Marion, Loretta M. can be contacted via phone (401) 444-0570.

Contact Information

Primary practice address
355 Prairie Ave Providence RI 02905-1928
Phone: (401) 444-0570
Fax: (401) 444-0427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS007739L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DO37583 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DO01075 Rhode Island

Profile Details

NPI number 1285690313
LBN Legal business name Marion, Loretta M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Dec 14th, 2023 - about 2 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 1285690313 NPPES
Pennsylvania MEDICAID 001592004

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