University Plastic Surgery Associates Inc
LBN: University Plastic Surgeons Inc
University Plastic Surgery Associates Inc is an health care organization with primary practice located at 120 Dudley Street Suite #201, Providence RI 02905. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty.
University Plastic Surgeons Inc can be contacted via phone (401) 521-9290, or through Bevivino, Jack R via phone (401) 521-9290.
Contact Information
Primary practice address
120 Dudley Street Suite #201
Providence RI 02905
Phone: (401) 521-9290
Fax: (401) 521-9297
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | RIMD05259 | Rhode Island |
Profile Details
NPI number | 1093882615 |
---|---|
LBN Legal business name | University Plastic Surgeons Inc |
DBA Doing business as | University Plastic Surgery Associates Inc |
Authorized official | Bevivino, Jack R Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 29th, 2006 |
Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093882615 | NPPES |
Rhode Island | MEDICAID | 9002112 | |
Rhode Island | Other | 1300124 | |
Rhode Island | Other | 21126 |
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