Individual
JONATHAN G SABOURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
850 AQUIDNECK AVE STE 15, MIDDLETOWN, RI 02842-7280
(401) 849-2157
(401) 848-8441
Mailing address
850 AQUIDNECK AVE STE 15, MIDDLETOWN, RI 02842-7280
(401) 849-2157
(401) 848-8441
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM00316
RI
213ES0103X
Foot & Ankle Surgery Podiatrist
2210
MA
213ES0103X
Foot & Ankle Surgery Podiatrist
DPM00316
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212867
BLUE CROSS BLUE SHIELD
RI
01
—
411583
BLUE CHIP
RI
05
—
7056541
—
RI
Enumeration date
04/08/2006
Last updated
06/16/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us