Irving, Richard Lewis

Irving, Richard Lewis is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Irving, Richard Lewis can be contacted via phone (215) 707-3133.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140-5103
Phone: (215) 707-3133
Fax: (215) 707-3945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0010-00728 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA052325 Pennsylvania

Profile Details

NPI number 1396787917
LBN Legal business name Irving, Richard Lewis
Credentials MHS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated May 21st, 2014 - about 11 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 1396787917 NPPES
South Carolina MEDICAID 0476PA

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