Channick, Richard N

Channick, Richard N is an individual health care provider with primary practice located at 55 Fruit St Cox 2, Boston MA 02114-2621. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Channick, Richard N can be contacted via phone (617) 724-3705.

Contact Information

Primary practice address
55 Fruit St Cox 2 Boston MA 02114-2621
Phone: (617) 724-3705
Fax: (617) 724-6954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 56347 Massachusetts
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 56347 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 56347 Massachusetts

Profile Details

NPI number 1144255886
LBN Legal business name Channick, Richard N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Feb 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144255886 NPPES
Massachusetts MEDICAID 110004417/A
Massachusetts MEDICAID 00G626950

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