Provider Demographics
NPI:1144208935
Name:PROFESSIONALS INC
Entity type:Organization
Organization Name:PROFESSIONALS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:F
Authorized Official - Last Name:PIKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-453-3028
Mailing Address - Street 1:5 NORTHAMPTON ST
Mailing Address - Street 2:PROFESSIONALS INC
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:508-453-3028
Mailing Address - Fax:508-753-3733
Practice Address - Street 1:107 LINCOLN ST
Practice Address - Street 2:ADCARE HOSPITAL
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605
Practice Address - Country:US
Practice Address - Phone:508-799-9000
Practice Address - Fax:508-753-3733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD09328207R00000X
MA41576207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
9757503OtherPROFESSIONALS
9757503OtherPROFESSIONALS