Spector, Jeremy

Spector, Jeremy is an individual health care provider with primary practice located at 44 W River St , Providence RI 02904-2609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Spector, Jeremy can be contacted via phone (401) 274-4800.

Contact Information

Primary practice address
44 W River St Providence RI 02904-2609
Phone: (401) 274-4800
Fax: (401) 454-0410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 11505 Rhode Island

Profile Details

NPI number 1992794408
LBN Legal business name Spector, Jeremy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Sep 27th, 2010 - about 14 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 1992794408 NPPES
Rhode Island MEDICAID 7056716
Rhode Island Other AA15807
Rhode Island Other 411815
Rhode Island Other 467578
Rhode Island Other 30184

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