Pakula, Susan L

Pakula, Susan L is an individual health care provider with primary practice located at 1 Commerce St Pediatrics, Lincoln RI 02865-1168. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Pakula, Susan L can be contacted via phone (401) 793-8484.

Contact Information

Primary practice address
1 Commerce St Pediatrics Lincoln RI 02865-1168
Phone: (401) 793-8484
Fax: (401) 793-8481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD05525 Rhode Island

Profile Details

NPI number 1285630947
LBN Legal business name Pakula, Susan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 21st, 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 1285630947 NPPES
Rhode Island MEDICAID 7003061
Rhode Island MEDICAID 2067871

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