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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326090697 NPPES
Wisconsin Other 930121595 MEDICARE RAILROAD
Wisconsin MEDICAID 30717200 MEDICARE RAILROAD
Wisconsin MEDICAID 104462228 MEDICARE RAILROAD

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