Laraway, Richard Robert
Laraway, Richard Robert is an individual health care provider with primary practice located at 2101 Elm St N , Fargo ND 58102-2417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Laraway, Richard Robert can be contacted via phone (701) 232-3241.Contact Information
Primary practice address
2101 Elm St N
Fargo ND 58102-2417
Phone: (701) 232-3241
Fax: (701) 237-2625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4576 | North Dakota |
Profile Details
| NPI number | 1952351785 |
|---|---|
| LBN Legal business name | Laraway, Richard Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jul 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952351785 | NPPES |
| North Dakota | MEDICAID | 13794 |
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