Lichtenberg, Richard A

Lichtenberg, Richard A is an individual health care provider with primary practice located at 1999 Sproul Rd Ste 21, Broomall PA 19008-3508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lichtenberg, Richard A can be contacted via phone (610) 353-6400.

Contact Information

Primary practice address
1999 Sproul Rd Ste 21 Broomall PA 19008-3508
Fax: (610) 356-1204
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD018781E Pennsylvania

Profile Details

NPI number 1861496705
LBN Legal business name Lichtenberg, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 23rd, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861496705 NPPES
Pennsylvania Other 131926 BLUE SHIELD
Pennsylvania MEDICAID 0007336900002 BLUE SHIELD
Pennsylvania Other 0031373000 BLUE SHIELD
Pennsylvania Other 58229 BLUE SHIELD
Pennsylvania Other CF6196 BLUE SHIELD

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