Petteruti, Stephen

Petteruti, Stephen is an sole proprietor health care provider with primary practice located at 250 Centerville Rd Bldg E, Warwick RI 02886-2778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Petteruti, Stephen can be contacted via phone (401) 921-5934.

Contact Information

Primary practice address
250 Centerville Rd Bldg E Warwick RI 02886-2778
Phone: (401) 921-5934
Fax: (401) 921-5936
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 413 Rhode Island

Profile Details

NPI number 1972504280
LBN Legal business name Petteruti, Stephen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Aug 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972504280 NPPES
Rhode Island Other 23631-3 BLUE CROSS BLUE SHIELD
Rhode Island Other 0101123 BLUE CROSS BLUE SHIELD
Rhode Island Other 203583 BLUE CROSS BLUE SHIELD
Rhode Island Other 2654722 BLUE CROSS BLUE SHIELD
Rhode Island MEDICAID 9003104 BLUE CROSS BLUE SHIELD

Popular Providers