Habersat, Richard Christian

Habersat, Richard Christian is an sole proprietor health care provider with primary practice located at 111 Mount Carmel Rd Suite 500, Parkton MD 21120-9706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Habersat, Richard Christian can be contacted via phone (410) 343-1020.

Contact Information

Primary practice address
111 Mount Carmel Rd Suite 500 Parkton MD 21120-9706
Fax: (410) 343-2494
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X D18822 Maryland

Profile Details

NPI number 1336133545
LBN Legal business name Habersat, Richard Christian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2005
Last updated Jun 4th, 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 1336133545 NPPES
Maryland MEDICAID 258171000

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