Shalvoy, Robert M

Shalvoy, Robert M is an sole proprietor health care provider with primary practice located at 100 Butler Dr , Providence RI 02906-4862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Shalvoy, Robert M can be contacted via phone (401) 330-1401.

Contact Information

Primary practice address
100 Butler Dr Providence RI 02906-4862
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 07850 Rhode Island

Profile Details

NPI number 1154368926
LBN Legal business name Shalvoy, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2006
Last updated Jun 3rd, 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 1154368926 NPPES
Rhode Island MEDICAID 9020321

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