Snow, Bethany S
Snow, Bethany S is an individual health care provider with primary practice located at 111 Brewster Street , Pawtucket RI 02860-4400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Snow, Bethany S can be contacted via phone (401) 729-2419.Contact Information
Primary practice address
111 Brewster Street
Pawtucket RI 02860-4400
Phone: (401) 729-2419
Fax: (401) 729-2517
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 4077 | Massachusetts |
Profile Details
NPI number | 1528368354 |
---|---|
LBN Legal business name | Snow, Bethany S |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 27th, 2010 |
Last updated | Dec 9th, 2015 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528368354 | NPPES |
Rhode Island | MEDICAID | BS84271 | |
Rhode Island | Other | 001937701 |
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