Ortiz, Jeanette
Ortiz, Jeanette is an individual health care provider with primary practice located at 127 Johnny Cake Hill Rd , Middletown RI 02842-5674. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ortiz, Jeanette can be contacted via phone (401) 846-1213.Contact Information
Primary practice address
127 Johnny Cake Hill Rd
Middletown RI 02842-5674
Phone: (401) 846-1213
Fax: (401) 848-9157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 00033 | Rhode Island |
Profile Details
| NPI number | 1699984716 |
|---|---|
| LBN Legal business name | Ortiz, Jeanette |
| Credentials | AA,LCDP, ACDP,RCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jan 5th, 2010 - about 16 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 | 1699984716 | NPPES |
| Rhode Island | Other | 409686 | BCBS BL CHIP |
| Rhode Island | Other | 7891442 | BCBS BL CHIP |
| Rhode Island | Other | 410887 | BCBS BL CHIP |
| Rhode Island | Other | 1022660 | BCBS BL CHIP |
| Rhode Island | Other | 30774-5 | BCBS BL CHIP |
| Rhode Island | Other | 6997-7 | BCBS BL CHIP |
| Rhode Island | Other | A2833203 | BCBS BL CHIP |
| Rhode Island | Other | 253474 | BCBS BL CHIP |
| Rhode Island | Other | 5079653 | BCBS BL CHIP |
| Rhode Island | Other | 008740 A005204 | BCBS BL CHIP |
| Rhode Island | MEDICAID | CH-04437 | BCBS BL CHIP |
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