Healthcare Provider Details

I. General information

NPI: 1609096783
Provider Name (Legal Business Name): EMILEE VANMETER BS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2007
Last Update Date: 04/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 MAIN ST
WOONSOCKET RI
02895-3123
US

IV. Provider business mailing address

245 MAIN ST
WOONSOCKET RI
02895-3123
US

V. Phone/Fax

Practice location:
  • Phone: 401-766-0900
  • Fax: 401-766-8737
Mailing address:
  • Phone: 401-766-0900
  • Fax: 401-767-8737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: