Piva, Kenneth J
Piva, Kenneth J is an individual health care provider with primary practice located at 1565 N Main St Suite 306, Fall River MA 02720-2972. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Piva, Kenneth J can be contacted via phone (508) 973-9500.Contact Information
Primary practice address
1565 N Main St Suite 306
Fall River MA 02720-2972
Phone: (508) 973-9500
Fax: (508) 973-0351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 60524 | Massachusetts |
Profile Details
| NPI number | 1750385092 |
|---|---|
| LBN Legal business name | Piva, Kenneth J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Apr 23rd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750385092 | NPPES |
| Massachusetts | MEDICAID | 110056517A | |
| Massachusetts | MEDICAID | KP13640 |
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