Perry, Theadore

Perry, Theadore is an sole proprietor health care provider with primary practice located at 251 Indiana Ave , Providence RI 02905-2822. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Perry, Theadore can be contacted via phone (401) 489-9977.

Contact Information

Primary practice address
251 Indiana Ave Providence RI 02905-2822
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1336677541
LBN Legal business name Perry, Theadore
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2017
Last updated Jun 1st, 2017 - about 9 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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