Everson, Richard Bernard

Everson, Richard Bernard is an individual health care provider with primary practice located at 263 Farmington Ave Uconn Medical Group, Cancer Center, Farmington CT 06030-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Everson, Richard Bernard can be contacted via phone (860) 679-2100.

Contact Information

Primary practice address
263 Farmington Ave Uconn Medical Group, Cancer Center Farmington CT 06030-0001
Phone: (860) 679-2100
Fax: (860) 679-4815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 044862 Connecticut

Profile Details

NPI number 1881631364
LBN Legal business name Everson, Richard Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Aug 17th, 2012 - about 12 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 1881631364 NPPES
Connecticut MEDICAID 1448621

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