Erdman, Richard L
Erdman, Richard L is an individual health care provider with primary practice located at 725 S Webster Ave , Green Bay WI 54301-3500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Erdman, Richard L can be contacted via phone (920) 433-3456.Contact Information
Primary practice address
725 S Webster Ave
Green Bay WI 54301-3500
Phone: (920) 433-3456
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 24509-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 24509 | Wisconsin |
Profile Details
| NPI number | 1326090697 |
|---|---|
| LBN Legal business name | Erdman, Richard L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Oct 13th, 2022 - about 2 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 | 1326090697 | NPPES |
| Wisconsin | Other | 930121595 | MEDICARE RAILROAD |
| Wisconsin | MEDICAID | 30717200 | MEDICARE RAILROAD |
| Wisconsin | MEDICAID | 104462228 | MEDICARE RAILROAD |
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