Whiteley, Laura Brave

Whiteley, Laura Brave is an individual health care provider with primary practice located at 1 Hoppin St Suite 204, Providence RI 02903-4141. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Whiteley, Laura Brave can be contacted via phone (401) 444-8945.

Contact Information

Primary practice address
1 Hoppin St Suite 204 Providence RI 02903-4141
Fax: (401) 444-8742
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD13728 Rhode Island

Profile Details

NPI number 1932247640
LBN Legal business name Whiteley, Laura Brave
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Jul 29th, 2011 - about 13 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 1932247640 NPPES
Rhode Island Other MD13728 MEDICAL LICENSE

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