Cordova, Richard Frank
Cordova, Richard Frank is an individual health care provider with primary practice located at 8 Brookhill Square South Spring Commons, Sugarloaf PA 18249-1010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Cordova, Richard Frank can be contacted via phone (570) 459-0029.Contact Information
Primary practice address
8 Brookhill Square South Spring Commons
Sugarloaf PA 18249-1010
Phone: (570) 459-0029
Fax: (570) 454-5757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS010574L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS010574L | Pennsylvania |
Profile Details
| NPI number | 1073509527 |
|---|---|
| LBN Legal business name | Cordova, Richard Frank |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Dec 10th, 2021 - about 3 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 | 1073509527 | NPPES |
| Pennsylvania | Other | 925494 | BLUE SHIELD |
| Pennsylvania | MEDICAID | 0018674470005 | BLUE SHIELD |
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