Mcilroy, Richard Harry

Mcilroy, Richard Harry is an sole proprietor health care provider with primary practice located at 4021 S 700 E Suite 300, Salt Lake City UT 84107-2192. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mcilroy, Richard Harry can be contacted via phone (800) 328-3048.

Contact Information

Primary practice address
4021 S 700 E Suite 300 Salt Lake City UT 84107-2192
Fax: (801) 264-6463
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9155 North Dakota

Profile Details

NPI number 1699862060
LBN Legal business name Mcilroy, Richard Harry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Jul 8th, 2007 - about 18 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 1699862060 NPPES
North Dakota MEDICAID 12024

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