San Antonio, Pamela Jo

San Antonio, Pamela Jo is an sole proprietor health care provider with primary practice located at 161 Airport Road , Warwick RI 02889. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. San Antonio, Pamela Jo can be contacted via phone (401) 737-4282.

Contact Information

Primary practice address
161 Airport Road Warwick RI 02889
Phone: (401) 737-4282
Fax: (401) 738-6896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 6409 Rhode Island

Profile Details

NPI number 1215913215
LBN Legal business name San Antonio, Pamela Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2005
Last updated Apr 16th, 2014 - about 10 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 1215913215 NPPES
Rhode Island MEDICAID 9920040
Rhode Island Other A3417A
Rhode Island Other 1200217
Rhode Island Other 200408
Rhode Island Other 406495
Rhode Island Other 6591
Rhode Island Other 4720780
Rhode Island Other 201242
Rhode Island Other 6409

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