Guthrie, Richard Bernie

Guthrie, Richard Bernie is an sole proprietor health care provider with primary practice located at 1355 Phalen Blvd # 109, Saint Paul MN 55106-3679. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Guthrie, Richard Bernie can be contacted via phone (651) 271-3697.

Contact Information

Primary practice address
1355 Phalen Blvd # 109 Saint Paul MN 55106-3679
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20562 Minnesota

Profile Details

NPI number 1881661734
LBN Legal business name Guthrie, Richard Bernie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated May 29th, 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 1881661734 NPPES
Wisconsin MEDICAID 31283300
Wisconsin MEDICAID 020285100

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