Meredick, Richard T

Meredick, Richard T is an individual health care provider with primary practice located at 201 N Main Ave , Scranton PA 18504. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Meredick, Richard T can be contacted via phone (570) 342-4009.

Contact Information

Primary practice address
201 N Main Ave Scranton PA 18504
Phone: (570) 342-4009
Fax: (570) 342-4326
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC001634L Pennsylvania

Profile Details

NPI number 1558333591
LBN Legal business name Meredick, Richard T
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Mar 24th, 2010 - about 14 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 1558333591 NPPES
Pennsylvania MEDICAID 0005056950001
Pennsylvania Other 10508
Pennsylvania Other 072412

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