Anderson, Richard Paul

Anderson, Richard Paul is an individual health care provider with primary practice located at 299 Carew St Ste 323 , Springfield MA 01104. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Anderson, Richard Paul can be contacted via phone (413) 732-9600.

Contact Information

Primary practice address
299 Carew St Ste 323 Springfield MA 01104
Fax: (413) 732-9621
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 79633 Massachusetts

Profile Details

NPI number 1790776516
LBN Legal business name Anderson, Richard Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2005
Last updated Sep 11th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790776516 NPPES
Massachusetts MEDICAID 9787461

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