Elsworth, Richard
Elsworth, Richard is an sole proprietor health care provider with primary practice located at 1402 W Court St , Flint MI 48503-5004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Elsworth, Richard can be contacted via phone (810) 767-3220.Contact Information
Primary practice address
1402 W Court St
Flint MI 48503-5004
Phone: (810) 767-3220
Fax: (810) 767-7969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 5101009256 | Michigan |
Profile Details
| NPI number | 1407954589 |
|---|---|
| LBN Legal business name | Elsworth, Richard |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - 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 | 1407954589 | NPPES |
| Michigan | Other | 160B576250 | BLUE CROSS BLUE SHIELD |
| Michigan | MEDICAID | 112647368 | BLUE CROSS BLUE SHIELD |
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