Mailloux, Richard J

Mailloux, Richard J is an individual health care provider with primary practice located at Dr. Richard Mailloux 198 Carriage Drive, Beckley WV 25801-2804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mailloux, Richard J can be contacted via phone (304) 256-4348.

Contact Information

Primary practice address
Dr. Richard Mailloux 198 Carriage Drive Beckley WV 25801-2804
Phone: (304) 256-4348
Fax: (681) 207-5101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 18094 West Virginia

Profile Details

NPI number 1215976188
LBN Legal business name Mailloux, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Sep 18th, 2019 - about 6 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 1215976188 NPPES
Kentucky Other 000000691895 ANTHEM BCBS
Kentucky Other 110103523 ANTHEM BCBS
Kentucky MEDICAID 0088257000 ANTHEM BCBS
Kentucky Other 0151526 ANTHEM BCBS
Kentucky MEDICAID 64072697 ANTHEM BCBS

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