Colquitt, Richard Derryl
Colquitt, Richard Derryl is an individual health care provider with primary practice located at 2300 W Charleston Blvd Ste 170, Las Vegas NV 89102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Colquitt, Richard Derryl can be contacted via phone (702) 877-8683.Contact Information
Primary practice address
2300 W Charleston Blvd Ste 170
Las Vegas NV 89102
Phone: (702) 877-8683
Fax: (702) 877-5249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2329 | Nevada |
Profile Details
| NPI number | 1457328270 |
|---|---|
| LBN Legal business name | Colquitt, Richard Derryl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Feb 5th, 2008 - about 17 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 | 1457328270 | NPPES |
| Nevada | MEDICAID | 2002076 |
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