Mourad, Jack P.

Mourad, Jack P. is an sole proprietor health care provider with primary practice located at 226 Auburn St , Cranston RI 02910-2852. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Mourad, Jack P. can be contacted via phone (401) 461-8450.

Contact Information

Primary practice address
226 Auburn St Cranston RI 02910-2852
Phone: (401) 461-8450
Fax: (401) 461-8640
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 8219 Rhode Island
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 8219 Rhode Island

Profile Details

NPI number 1912972050
LBN Legal business name Mourad, Jack P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2006
Last updated Dec 22nd, 2008 - about 17 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 1912972050 NPPES
Rhode Island Other 22724 NEIGHBORHOOD HEALTH PLAN
Rhode Island MEDICAID 9002703 NEIGHBORHOOD HEALTH PLAN
Rhode Island Other 04-01308 NEIGHBORHOOD HEALTH PLAN
Rhode Island Other 110179243 NEIGHBORHOOD HEALTH PLAN
Rhode Island Other 2703-4 NEIGHBORHOOD HEALTH PLAN
Rhode Island Other 64476 NEIGHBORHOOD HEALTH PLAN

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