Ferment, Richard

Ferment, Richard is an individual health care provider with primary practice located at 561 Cox Road , Gastonia NC 28054-0628. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ferment, Richard can be contacted via phone (704) 866-7772.

Contact Information

Primary practice address
561 Cox Road Gastonia NC 28054-0628
Phone: (704) 866-7772
Fax: (704) 866-4292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1114049269
LBN Legal business name Ferment, Richard
Credentials C.F.O.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Oct 15th, 2010 - about 15 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 1114049269 NPPES
North Carolina MEDICAID 7702806

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