Small, Peter Michael

Small, Peter Michael is an individual health care provider with primary practice located at 200 High Service Avenue St. Joseph Health Services Of Rhode Island, North Providence RI 02904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Small, Peter Michael can be contacted via phone (401) 490-5365.

Contact Information

Primary practice address
200 High Service Avenue St. Joseph Health Services Of Rhode Island North Providence RI 02904
Phone: (401) 490-5365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD05276 Rhode Island

Profile Details

NPI number 1972557346
LBN Legal business name Small, Peter Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Nov 30th, 2009 - about 16 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 1972557346 NPPES
Rhode Island MEDICAID 8002001

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