Massucci, Kristie Marie

Massucci, Kristie Marie is an individual health care provider with primary practice located at 1000 Eddy St , Providence RI 02905-4739. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Massucci, Kristie Marie can be contacted via phone (401) 533-9100.

Contact Information

Primary practice address
1000 Eddy St Providence RI 02905-4739
Phone: (401) 533-9100
Fax: (401) 533-9105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X RN57382 Rhode Island

Profile Details

NPI number 1194283598
LBN Legal business name Massucci, Kristie Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2019
Last updated Aug 15th, 2019 - about 6 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 1194283598 NPPES
Rhode Island Other 0614 NEIGHBORHOOD HEALTH
Rhode Island MEDICAID ES01788 NEIGHBORHOOD HEALTH
Rhode Island Other SB870 NEIGHBORHOOD HEALTH

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