Coburn, Richard Ryan
Coburn, Richard Ryan is an individual health care provider with primary practice located at 80 Acoma Blvd , Lake Havasu City AZ 86403. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Coburn, Richard Ryan can be contacted via phone (406) 939-2093.Contact Information
Primary practice address
80 Acoma Blvd
Lake Havasu City AZ 86403
Phone: (406) 939-2093
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D009686 | Arizona |
| Dental Providers / General Practice | 1223G0001X | 2288 | Montana |
Profile Details
| NPI number | 1699931691 |
|---|---|
| LBN Legal business name | Coburn, Richard Ryan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2008 |
| Last updated | Jul 21st, 2022 - 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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