Provider Demographics
NPI:1982880431
Name:DEBORAH WINTHROP FINE LINGERIE AND GIFTS
Entity Type:Organization
Organization Name:DEBORAH WINTHROP FINE LINGERIE AND GIFTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:WINTHROP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-682-2272
Mailing Address - Street 1:103 CLOCK TOWER SQ
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:RI
Mailing Address - Zip Code:02871-1396
Mailing Address - Country:US
Mailing Address - Phone:401-682-2272
Mailing Address - Fax:401-682-2273
Practice Address - Street 1:103 CLOCK TOWER SQ
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:RI
Practice Address - Zip Code:02871-1396
Practice Address - Country:US
Practice Address - Phone:401-682-2272
Practice Address - Fax:401-682-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI30774Medicaid
RI410336OtherBLUE CHIP
RI21501-9OtherBLUE CROSS
RI4426140001Medicare NSC