Mudd, Richard Dyer
Mudd, Richard Dyer is an individual health care provider with primary practice located at 2205 S Galisteo St , Santa Fe NM 87505. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Mudd, Richard Dyer can be contacted via phone (505) 820-5899.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1348 | New Mexico |
Profile Details
| NPI number | 1548325376 |
|---|---|
| LBN Legal business name | Mudd, Richard Dyer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Dec 11th, 2007 - 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 | 1548325376 | NPPES |
| Other | 1004541 | LOVELACE HSC | |
| MEDICAID | 000Z0979 | LOVELACE HSC | |
| Other | 14763 | LOVELACE HSC | |
| Other | NM01E22 | LOVELACE HSC |
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