Nilsson, Gary

Nilsson, Gary is an sole proprietor health care provider with primary practice located at 455 Tollgate Rd , Warwick RI 02886-2759. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Nilsson, Gary can be contacted via phone (401) 738-1516.

Contact Information

Primary practice address
455 Tollgate Rd Warwick RI 02886-2759
Phone: (401) 738-1516
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA20382 Rhode Island

Profile Details

NPI number 1285710988
LBN Legal business name Nilsson, Gary
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Dec 6th, 2007 - 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 1285710988 NPPES
Rhode Island MEDICAID NR40830

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