Mahr, Richard Gerard

Mahr, Richard Gerard is an individual health care provider with primary practice located at 640 Jackson St Mc 11109E, Saint Paul MN 55101-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mahr, Richard Gerard can be contacted via phone (651) 254-9545.

Contact Information

Primary practice address
640 Jackson St Mc 11109E Saint Paul MN 55101-2502
Fax: (651) 254-3662
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36096 Minnesota

Profile Details

NPI number 1851363634
LBN Legal business name Mahr, Richard Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Dec 12th, 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 1851363634 NPPES
Minnesota MEDICAID 932065200

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