Stoukides, John A

Stoukides, John A is an individual health care provider with primary practice located at 1018 Waterman Ave , East Providence RI 02914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Stoukides, John A can be contacted via phone (401) 231-0450.

Contact Information

Primary practice address
1018 Waterman Ave East Providence RI 02914
Fax: (401) 233-2387
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MD07851 Rhode Island

Profile Details

NPI number 1639176357
LBN Legal business name Stoukides, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jan 15th, 2019 - about 5 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 1639176357 NPPES
Rhode Island MEDICAID 7001413

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