Medina, Shirley
Medina, Shirley is an individual health care provider with primary practice located at 1000 Eddy Street , Providence RI 02905. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Medina, Shirley can be contacted via phone (401) 533-9100.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1689890725 |
|---|---|
| LBN Legal business name | Medina, Shirley |
| Credentials | MCP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1689890725 | NPPES |
| Rhode Island | Other | 4600103 | EI UNITED |
| Rhode Island | Other | 292177 | EI UNITED |
| Rhode Island | Other | 2092 | EI UNITED |
| Rhode Island | Other | 412296 | EI UNITED |
| Rhode Island | MEDICAID | ES01788 | EI UNITED |
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