Harrell, Richard W

Harrell, Richard W is an individual health care provider with primary practice located at 920 Plantation Rd Ste 104 , Blacksburg VA 24060-3837. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Harrell, Richard W can be contacted via phone (540) 552-1904.

Contact Information

Primary practice address
920 Plantation Rd Ste 104 Blacksburg VA 24060-3837
Fax: (540) 552-2201
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2201000553 Virginia

Profile Details

NPI number 1376518605
LBN Legal business name Harrell, Richard W
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Feb 12th, 2015 - about 10 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 1376518605 NPPES
Virginia MEDICAID 1376518605
Virginia MEDICAID 009450912
Virginia Other 009691T45

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