Vigeant, Derric James
Vigeant, Derric James is an individual health care provider with primary practice located at 825 Chalkstone Ave , Providence RI 02908-4728. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Vigeant, Derric James can be contacted via phone (401) 456-2000.Contact Information
Primary practice address
825 Chalkstone Ave
Providence RI 02908-4728
Phone: (401) 456-2000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | PA1450 | Rhode Island |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family | 364SP0810X | PA01450 | Rhode Island |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
NPI number | 1902546203 |
---|---|
LBN Legal business name | Vigeant, Derric James |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 1st, 2022 |
Last updated | May 9th, 2022 - 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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