Mutty, Richard John
Mutty, Richard John is an sole proprietor health care provider with primary practice located at 1819 Black River Blvd N , Rome NY 13440-2427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mutty, Richard John can be contacted via phone (315) 336-5600.Contact Information
Primary practice address
1819 Black River Blvd N
Rome NY 13440-2427
Phone: (315) 336-5600
Fax: (315) 336-5618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 123964-1 | New York |
Profile Details
| NPI number | 1487658407 |
|---|---|
| LBN Legal business name | Mutty, Richard John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Jan 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487658407 | NPPES |
| New York | MEDICAID | 00520663 |
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