Mcquellon, Richard P
Mcquellon, Richard P is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Mcquellon, Richard P can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1168 | North Carolina |
Profile Details
| NPI number | 1275518623 |
|---|---|
| LBN Legal business name | Mcquellon, Richard P |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Nov 18th, 2008 - about 17 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 | 1275518623 | NPPES |
| North Carolina | Other | 5893 | PARTNERS |
| North Carolina | MEDICAID | 7104723 | PARTNERS |
| North Carolina | MEDICAID | 6000385 | PARTNERS |
| North Carolina | Other | 64140 | PARTNERS |
| North Carolina | Other | 4146 | PARTNERS |
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