Active NPIIndividual provider

Alfred H Liddle, PA

Physician Assistant in Lincoln, Rhode Island

NPI Number1205813615
Practice location
6 Blackstone Valley Pl Ste 201, Lincoln, RI 02865-1112
Fax
401-358-9042
Last updated
June 4, 2026

Alfred Henry Liddle is a Physician Assistant based in Lincoln, RI. Alfred Henry Liddle practices in Lincoln, RI and has the professional credentials of PA. The NPI Number for Alfred Henry Liddle is 1205813615 and holds a License No. PA00023 (RI). The current practice location address for Alfred Henry Liddle is 6 Blackstone Valley Pl Ste 201, Lincoln, RI 02865-1112 and can be reached out via phone at 401-638-6374 and via fax at 401-358-9042.

Provider Profile Details

NPI Number
1205813615
Provider Name
Alfred Henry Liddle
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
6 Blackstone Valley Pl Ste 201, Lincoln, RI 02865-1112
Phone Number
401-638-6374
Fax Number
401-358-9042
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
December 28, 2005
Last Update Date
June 4, 2026
Certification Date
June 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Blackstone Valley Pl Ste 201
Lincoln, RI 02865-1112
Zip
02865-1112
Phone Number
401-638-6374
Fax Number
401-358-9042
Lincoln, RI 02865Get directions →

Provider Business Mailing Address Details

Address
6 Blackstone Valley Pl Ste 201
Lincoln, RI 02865-1112
City
Lincoln
State
RI
Zip
02865-1112
Phone Number
401-638-6374
Fax Number
401-358-9042

License Information

License Number
PA00023
License State
RI
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alfred H Liddle, PA?

The NPI number of Alfred H Liddle, PA is 1205813615. It was assigned on December 28, 2005 and is currently active in the NPPES registry.

What is the specialty of Alfred H Liddle, PA?

Alfred H Liddle, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA00023.

Where does Alfred H Liddle, PA practice?

The practice location is 6 Blackstone Valley Pl Ste 201, Lincoln, RI 02865-1112. The office can be reached at 401-638-6374 (phone) or 401-358-9042 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205813615 directly on the NPPES registry website.

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