Kootman, Richard M
Kootman, Richard M is an sole proprietor health care provider with primary practice located at 13943 N 91St Ave Bldg G , Peoria AZ 85381-3687. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kootman, Richard M can be contacted via phone (623) 561-1995.Contact Information
Primary practice address
13943 N 91St Ave Bldg G
Peoria AZ 85381-3687
Phone: (623) 561-1995
Fax: (623) 561-2446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 19610 | Arizona |
Profile Details
| NPI number | 1700896149 |
|---|---|
| LBN Legal business name | Kootman, Richard M |
| Credentials | M.D., P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Dec 5th, 2007 - about 17 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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