Neimark, Ezequiel
Neimark, Ezequiel is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Neimark, Ezequiel can be contacted via phone (401) 444-8306.Contact Information
Primary practice address
593 Eddy St
Providence RI 02903-4923
Phone: (401) 444-8306
Fax: (401) 444-8748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 11715 | Rhode Island |
Profile Details
| NPI number | 1669426672 |
|---|---|
| LBN Legal business name | Neimark, Ezequiel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Sep 12th, 2013 - about 12 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 | 1669426672 | NPPES |
| Rhode Island | MEDICAID | EN58363 |
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