Elmore, Richard T

Elmore, Richard T is an sole proprietor health care provider with primary practice located at 100 Rialto Pl Suite 754, Melbourne FL 32901-3055. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Elmore, Richard T can be contacted via phone (321) 728-9620.

Contact Information

Primary practice address
100 Rialto Pl Suite 754 Melbourne FL 32901-3055
Phone: (321) 728-9620
Fax: (321) 951-1928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY3228 Florida

Profile Details

NPI number 1740214766
LBN Legal business name Elmore, Richard T
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Jan 6th, 2010 - about 14 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 1740214766 NPPES
Florida Other 75204 BCBS PROVIDER NUMBER
Florida Other 592345361 BCBS PROVIDER NUMBER

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