Reali Marini, Diane M.
Reali Marini, Diane M. is an sole proprietor health care provider with primary practice located at 200 High Service Ave , North Providence RI 02904-5113. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Reali Marini, Diane M. can be contacted via phone (401) 456-3000.Contact Information
Primary practice address
200 High Service Ave
North Providence RI 02904-5113
Phone: (401) 456-3000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD08740 | Rhode Island |
Profile Details
NPI number | 1558336669 |
---|---|
LBN Legal business name | Reali Marini, Diane M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 22nd, 2006 |
Last updated | Oct 4th, 2022 - about 3 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 | 1558336669 | NPPES |
Rhode Island | MEDICAID | 7004493 | |
Rhode Island | Other | P00171398 | |
Rhode Island | Other | 401700 | |
Rhode Island | Other | 27419-1 |
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