Mistichelli, Richard A
Mistichelli, Richard A is an individual health care provider with primary practice located at 794 Mount Prospect Ave , Newark NJ 07104-3221. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mistichelli, Richard A can be contacted via phone (973) 483-4749.Contact Information
Primary practice address
794 Mount Prospect Ave
Newark NJ 07104-3221
Phone: (973) 483-4749
Fax: (973) 482-0643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 28RI02615100 | New Jersey |
Profile Details
| NPI number | 1417167560 |
|---|---|
| LBN Legal business name | Mistichelli, Richard A |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Mar 7th, 2017 - about 7 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 | 1417167560 | NPPES |
| New Jersey | Other | 28RI02615100 | PHARMACIST |
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