Provider Demographics
NPI:1033513098
Name:DOWNING, WILLIAM (LMTPRO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:DOWNING
Suffix:
Gender:M
Credentials:LMTPRO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 ROCK ST # 2
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-3308
Mailing Address - Country:US
Mailing Address - Phone:401-787-8879
Mailing Address - Fax:
Practice Address - Street 1:231 WARREN AVE
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-4838
Practice Address - Country:US
Practice Address - Phone:401-787-8879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMT00878174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist