Urban, John
Urban, John is an individual health care provider with primary practice located at 120 Dudley St Suite 204, Providence RI 02905-2436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Urban, John can be contacted via phone (401) 421-7486.Contact Information
Primary practice address
120 Dudley St Suite 204
Providence RI 02905-2436
Phone: (401) 421-7486
Fax: (401) 421-4150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD04558 | Rhode Island |
Profile Details
| NPI number | 1023090982 |
|---|---|
| LBN Legal business name | Urban, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1023090982 | NPPES |
| Rhode Island | MEDICAID | 9001617 |
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