Hathaway, Richard A

Hathaway, Richard A is an individual health care provider with primary practice located at 9695 S Yosemite St Suite 200, Lone Tree CO 80124-2888. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Hathaway, Richard A can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
9695 S Yosemite St Suite 200 Lone Tree CO 80124-2888
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 31774 Colorado
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 31774 Colorado

Profile Details

NPI number 1548304348
LBN Legal business name Hathaway, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Nov 30th, 2021 - about 3 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 1548304348 NPPES
Colorado MEDICAID 01317742
Colorado Other 007037

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