Lyon, Richard Thad

Lyon, Richard Thad is an sole proprietor health care provider with primary practice located at 521 Park Ave , Cranston RI 02910-2346. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Lyon, Richard Thad can be contacted via phone (401) 781-3374.

Contact Information

Primary practice address
521 Park Ave Cranston RI 02910-2346
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X 038007551 Illinois
Chiropractic Providers / Neurology 111NN0400X DCP00601 Rhode Island

Profile Details

NPI number 1407926884
LBN Legal business name Lyon, Richard Thad
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated Jul 10th, 2012 - about 12 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 1407926884 NPPES
Illinois Other 04506397 BLUE CROSS BLUE SHIELD

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