Antonio, David Richard
Antonio, David Richard is an individual health care provider with primary practice located at 95 Harris Rd Building 5, Kilmarnock VA 22482-3845. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Antonio, David Richard can be contacted via phone (804) 435-3146.Contact Information
Primary practice address
95 Harris Rd Building 5
Kilmarnock VA 22482-3845
Phone: (804) 435-3146
Fax: (804) 435-6054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101034363 | Virginia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0101034363 | Virginia |
Profile Details
| NPI number | 1750374005 |
|---|---|
| LBN Legal business name | Antonio, David Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Feb 5th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750374005 | NPPES |
| Virginia | Other | 011595 | ANTHEM HEALTH PLANS OF VA |
| Virginia | MEDICAID | 1750374005 | ANTHEM HEALTH PLANS OF VA |
| Virginia | Other | 200005729 | ANTHEM HEALTH PLANS OF VA |
| Virginia | MEDICAID | 64-12785 | ANTHEM HEALTH PLANS OF VA |
| Virginia | Other | P00717232 | ANTHEM HEALTH PLANS OF VA |
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