Bardales, Richard M

Bardales, Richard M is an individual health care provider with primary practice located at 618 Pleasantville Rd Ste 101, Lancaster OH 43130-3312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bardales, Richard M can be contacted via phone (740) 653-7511.

Contact Information

Primary practice address
618 Pleasantville Rd Ste 101 Lancaster OH 43130-3312
Phone: (740) 653-7511
Fax: (740) 653-7512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35074693 Ohio

Profile Details

NPI number 1619978889
LBN Legal business name Bardales, Richard M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Nov 17th, 2011 - about 14 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 1619978889 NPPES
Ohio MEDICAID 2087898

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