Mennillo, Roger Niles
Mennillo, Roger Niles is an individual health care provider with primary practice located at 176 Toll Gate Rd Suite 101, Warwick RI 02886-4482. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mennillo, Roger Niles can be contacted via phone (401) 737-9270.Contact Information
Primary practice address
176 Toll Gate Rd Suite 101
Warwick RI 02886-4482
Phone: (401) 737-9270
Fax: (401) 739-6413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD09221 | Rhode Island |
Profile Details
| NPI number | 1730155482 |
|---|---|
| LBN Legal business name | Mennillo, Roger Niles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Apr 4th, 2024 - about last year |
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 | 1730155482 | NPPES |
| Rhode Island | MEDICAID | RM51805 |
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