George, Richard Joseph

George, Richard Joseph is an individual health care provider with primary practice located at 3905 W Ernestine Dr , Marion IL 62959-5800. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. George, Richard Joseph can be contacted via phone (618) 559-6917.

Contact Information

Primary practice address
3905 W Ernestine Dr Marion IL 62959-5800
Phone: (618) 559-6917
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X Illinois

Profile Details

NPI number 1306868898
LBN Legal business name George, Richard Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306868898 NPPES
Illinois MEDICAID 0360812962

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