Cordle, Richard
Cordle, Richard is an individual health care provider with primary practice located at 4348 Electric Rd , Roanoke VA 24018-0720. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Cordle, Richard can be contacted via phone (540) 769-0976.Contact Information
Primary practice address
4348 Electric Rd
Roanoke VA 24018-0720
Phone: (540) 769-0976
Fax: (540) 857-5391
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101-233252 | Virginia |
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 0101-233252 | Virginia |
Profile Details
NPI number | 1356313241 |
---|---|
LBN Legal business name | Cordle, Richard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 3rd, 2006 |
Last updated | Nov 2nd, 2021 - about 4 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 | 1356313241 | NPPES |
Virginia | MEDICAID | 010383722 | |
Virginia | MEDICAID | 1356313241 | |
Virginia | MEDICAID | 6702708 |
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