Damian, Richard Anthony

Damian, Richard Anthony is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Damian, Richard Anthony can be contacted via phone (570) 888-5858.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Phone: (570) 888-5858
Fax: (570) 887-2338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD048536L Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 205993-1 New York

Profile Details

NPI number 1194790477
LBN Legal business name Damian, Richard Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jun 22nd, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194790477 NPPES
Pennsylvania Other 020046843 RR MEDICARE PIN
Pennsylvania Other CC9269 RR MEDICARE PIN
Pennsylvania Other GU039818 RR MEDICARE PIN
Pennsylvania MEDICAID 0015291900002 RR MEDICARE PIN
Pennsylvania MEDICAID 01568276 RR MEDICARE PIN

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