Mclandress, Richard A

Mclandress, Richard A is an individual health care provider with primary practice located at 1919 Lincoln Way Ste 315, Coeur D Alene ID 83814-2527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mclandress, Richard A can be contacted via phone (208) 625-6000.

Contact Information

Primary practice address
1919 Lincoln Way Ste 315 Coeur D Alene ID 83814-2527
Phone: (208) 625-6000
Fax: (208) 625-6001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M3631 Idaho

Profile Details

NPI number 1194723908
LBN Legal business name Mclandress, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Oct 2nd, 2020 - about 4 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 1194723908 NPPES
Idaho MEDICAID 804017400

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