Nir, Dan

Nir, Dan is an individual health care provider with primary practice located at 825 Chalkstone Ave Imaging Network Of Rhode Island, Providence RI 02908-4728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Nir, Dan can be contacted via phone (401) 456-2204.

Contact Information

Primary practice address
825 Chalkstone Ave Imaging Network Of Rhode Island Providence RI 02908-4728
Phone: (401) 456-2204
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD11451 Rhode Island

Profile Details

NPI number 1285617910
LBN Legal business name Nir, Dan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Oct 22nd, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285617910 NPPES
Rhode Island MEDICAID 7056511

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