Gianfagna, Richard Alan
Gianfagna, Richard Alan is an sole proprietor health care provider with primary practice located at 408 S 14Th St , Richmond IN 47374-6403. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gianfagna, Richard Alan can be contacted via phone (765) 935-5344.Contact Information
Primary practice address
408 S 14Th St
Richmond IN 47374-6403
Phone: (765) 935-5344
Fax: (765) 966-8338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20010442A | Indiana |
Profile Details
| NPI number | 1508847260 |
|---|---|
| LBN Legal business name | Gianfagna, Richard Alan |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Sep 30th, 2010 - about 14 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 | 1508847260 | NPPES |
| Indiana | MEDICAID | 100256150A |
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