Eggleston, Richard J
Eggleston, Richard J is an individual health care provider with primary practice located at 500 Port Dr , Clarkston WA 99403-1835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Eggleston, Richard J can be contacted via phone (509) 758-8811.Contact Information
Primary practice address
500 Port Dr
Clarkston WA 99403-1835
Phone: (509) 758-8811
Fax: (509) 751-1188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD00014109 | Washington |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | M3387 | Idaho |
Profile Details
| NPI number | 1821088147 |
|---|---|
| LBN Legal business name | Eggleston, Richard J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Apr 30th, 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 | 1821088147 | NPPES |
| Idaho | Other | 000010145028 | REGENCE BLUE SHIELD OF IDAHO |
| Idaho | Other | BYHC7 | REGENCE BLUE SHIELD OF IDAHO |
| Idaho | Other | 000010002377 | REGENCE BLUE SHIELD OF IDAHO |
| Idaho | Other | 20031 | REGENCE BLUE SHIELD OF IDAHO |
| Idaho | Other | MSIWAE400 | REGENCE BLUE SHIELD OF IDAHO |
| Idaho | Other | 33878 | REGENCE BLUE SHIELD OF IDAHO |
| Idaho | Other | 00010002377 | REGENCE BLUE SHIELD OF IDAHO |
| Idaho | Other | 8927760 | REGENCE BLUE SHIELD OF IDAHO |
| Idaho | Other | 123142 | REGENCE BLUE SHIELD OF IDAHO |
| Idaho | Other | 12943 | REGENCE BLUE SHIELD OF IDAHO |
| Idaho | Other | 15192 | REGENCE BLUE SHIELD OF IDAHO |
| Idaho | MEDICAID | 003681500 | REGENCE BLUE SHIELD OF IDAHO |
| Idaho | MEDICAID | 1051481 | REGENCE BLUE SHIELD OF IDAHO |
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