Hart, Richard Davis

Hart, Richard Davis is an individual health care provider with primary practice located at 423 S South St Ste.101, Mount Airy NC 27030-4576. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Hart, Richard Davis can be contacted via phone (336) 786-5144.

Contact Information

Primary practice address
423 S South St Ste.101 Mount Airy NC 27030-4576
Phone: (336) 786-5144
Fax: (336) 786-5146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 200301239 North Carolina

Profile Details

NPI number 1528063203
LBN Legal business name Hart, Richard Davis
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Feb 1st, 2018 - about 7 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 1528063203 NPPES
North Carolina MEDICAID 89136C8

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