St. Dennis, Richard A

St. Dennis, Richard A is an individual health care provider with primary practice located at 10 Woodland Dr , Coventry RI 02816-6716. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. St. Dennis, Richard A can be contacted via phone (401) 826-2000.

Contact Information

Primary practice address
10 Woodland Dr Coventry RI 02816-6716
Phone: (401) 826-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001203 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00503 Rhode Island

Profile Details

NPI number 1306879242
LBN Legal business name St. Dennis, Richard A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Sep 28th, 2023 - about 2 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 1306879242 NPPES
Rhode Island MEDICAID RS77579

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