Blair, Richard

Blair, Richard is an individual health care provider with primary practice located at 210 E Gray St Ste 700 , Louisville KY 40202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Blair, Richard can be contacted via phone (502) 629-5400.

Contact Information

Primary practice address
210 E Gray St Ste 700 Louisville KY 40202
Phone: (502) 629-5400
Fax: (502) 629-5492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 03784 Kentucky
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 15435 Mississippi

Profile Details

NPI number 1407895972
LBN Legal business name Blair, Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Apr 26th, 2023 - about 2 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 1407895972 NPPES
Alabama MEDICAID 009989045
Alabama Other 51527542
Alabama Other K188051
Alabama MEDICAID 7100378800

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