Pitt, Susan

Pitt, Susan is an individual health care provider with primary practice located at 75 Sockanosset Cross Rd , Cranston RI 02920-5558. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pitt, Susan can be contacted via phone (401) 946-6200.

Contact Information

Primary practice address
75 Sockanosset Cross Rd Cranston RI 02920-5558
Fax: (401) 275-1992
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00050 Rhode Island

Profile Details

NPI number 1194710350
LBN Legal business name Pitt, Susan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jul 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194710350 NPPES
Rhode Island Other 709003712 MEDICARE GROUP
Rhode Island MEDICAID 9021026 MEDICARE GROUP
Rhode Island Other 21026 MEDICARE GROUP
Rhode Island Other 406468 MEDICARE GROUP

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