Beller, Richard Anthony
Beller, Richard Anthony is an individual health care provider with primary practice located at 700 M St Ne , Auburn WA 98002-4586. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Beller, Richard Anthony can be contacted via phone (206) 212-2100.Contact Information
Primary practice address
700 M St Ne
Auburn WA 98002-4586
Phone: (206) 212-2100
Fax: (206) 212-2194
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G40056 | California |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD60818145 | Washington |
Profile Details
NPI number | 1396741005 |
---|---|
LBN Legal business name | Beller, Richard Anthony |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2005 |
Last updated | Jan 3rd, 2024 - about last year |
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 | 1396741005 | NPPES |
California | MEDICAID | G40056 | |
California | MEDICAID | 2112080 | |
California | Other | G8990641 |
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