Converse, Richard L

Converse, Richard L is an individual health care provider with primary practice located at 1 Mercado St Ste 130 , Durango CO 81301-7306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Converse, Richard L can be contacted via phone (970) 247-1120.

Contact Information

Primary practice address
1 Mercado St Ste 130 Durango CO 81301-7306
Phone: (970) 247-1120
Fax: (970) 247-1128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20030692 New Mexico
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X DR.0069901 Colorado

Profile Details

NPI number 1013001486
LBN Legal business name Converse, Richard L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 7th, 2023 - about last year

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 1013001486 NPPES
Colorado MEDICAID 9000212517
Colorado MEDICAID 02651858

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