Paul, Deborah
Paul, Deborah is an individual health care provider with primary practice located at 1287 N Main St , Providence RI 02904-1856. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Paul, Deborah can be contacted via phone (401) 272-2724.Contact Information
Primary practice address
1287 N Main St
Providence RI 02904-1856
Phone: (401) 272-2724
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 176004 | New York |
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 71417 | Minnesota |
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 295603 | Massachusetts |
Profile Details
NPI number | 1700371960 |
---|---|
LBN Legal business name | Paul, Deborah |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 28th, 2018 |
Last updated | Jan 22nd, 2024 - about 10 months 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 | 1700371960 | NPPES |
Massachusetts | MEDICAID | 110199508A |
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