Irene, Richard
Irene, Richard is an individual health care provider with primary practice located at 1810 Mackenzie Dr , Columbus OH 43220-2967. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Irene, Richard can be contacted via phone (614) 538-2424.Contact Information
Primary practice address
1810 Mackenzie Dr
Columbus OH 43220-2967
Phone: (614) 538-2424
Fax: (614) 538-2418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 35054543 | Ohio |
Profile Details
| NPI number | 1730189515 |
|---|---|
| LBN Legal business name | Irene, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Feb 8th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730189515 | NPPES |
| Other | 000000542268 | ANTHEM | |
| MEDICAID | 0660511 | ANTHEM |
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