Carroll, Richard Peyton
Carroll, Richard Peyton is an individual health care provider with primary practice located at 14508 Ne 20Th Ave Suite 102, Vancouver WA 98686-6424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carroll, Richard Peyton can be contacted via phone (360) 574-9730.Contact Information
Primary practice address
14508 Ne 20Th Ave Suite 102
Vancouver WA 98686-6424
Phone: (360) 574-9730
Fax: (360) 576-7662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OP00002292 | Washington |
Profile Details
| NPI number | 1619966744 |
|---|---|
| LBN Legal business name | Carroll, Richard Peyton |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Jun 26th, 2008 - about 16 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 | 1619966744 | NPPES |
| Washington | MEDICAID | 8499824 |
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