Mcrae, Robert G
Mcrae, Robert G is an individual health care provider with primary practice located at 118 Dudley St , Providence RI 02905-2403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Mcrae, Robert G can be contacted via phone (401) 274-2300.Contact Information
Primary practice address
118 Dudley St
Providence RI 02905-2403
Phone: (401) 274-2300
Fax: (401) 272-1302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 5604 | Rhode Island |
Profile Details
| NPI number | 1912015033 |
|---|---|
| LBN Legal business name | Mcrae, Robert G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Apr 1st, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912015033 | NPPES |
| Rhode Island | MEDICAID | 9000111 |
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