Sadovnikoff, Gregory

Sadovnikoff, Gregory is an individual health care provider with primary practice located at 60 Bay Spring Ave Unit A1, Barrington RI 02806-1384. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sadovnikoff, Gregory can be contacted via phone (401) 289-2961.

Contact Information

Primary practice address
60 Bay Spring Ave Unit A1 Barrington RI 02806-1384
Phone: (401) 289-2961
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 160319 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD10134 Rhode Island

Profile Details

NPI number 1508841081
LBN Legal business name Sadovnikoff, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Apr 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508841081 NPPES
Rhode Island Other MD10134 MEDICAL LICENSE

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