Provider Demographics
NPI:1588679385
Name:LIFESPAN/PHYSICIANS PSO BILLING SERVICES
Entity Type:Organization
Organization Name:LIFESPAN/PHYSICIANS PSO BILLING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:401-444-6153
Mailing Address - Street 1:167 POINT ST
Mailing Address - Street 2:CORO 3A
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4771
Mailing Address - Country:US
Mailing Address - Phone:401-444-6153
Mailing Address - Fax:401-444-2127
Practice Address - Street 1:167 POINT ST
Practice Address - Street 2:CORO 3A
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4771
Practice Address - Country:US
Practice Address - Phone:401-444-6153
Practice Address - Fax:401-444-2127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty