Mostak, Richard Grant

Mostak, Richard Grant is an individual health care provider with primary practice located at 354 Copperfield Blvd , Concord NC 28025-2402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mostak, Richard Grant can be contacted via phone (704) 323-2000.

Contact Information

Primary practice address
354 Copperfield Blvd Concord NC 28025-2402
Phone: (704) 323-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 201001031 North Carolina

Profile Details

NPI number 1407007065
LBN Legal business name Mostak, Richard Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2008
Last updated May 12th, 2011 - about 13 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 1407007065 NPPES
North Carolina MEDICAID 5915477

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