Mcconnell, Richard Allen
Mcconnell, Richard Allen is an individual health care provider with primary practice located at 113 E College Blvd , Roswell NM 88201-5158. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mcconnell, Richard Allen can be contacted via phone (575) 622-6500.Contact Information
Primary practice address
113 E College Blvd
Roswell NM 88201-5158
Phone: (575) 622-6500
Fax: (575) 622-9777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2870 | New Mexico |
Profile Details
| NPI number | 1588637458 |
|---|---|
| LBN Legal business name | Mcconnell, Richard Allen |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Sep 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588637458 | NPPES |
| New Mexico | MEDICAID | 98238370 |
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