Newcomb, Richard Lynn
Newcomb, Richard Lynn is an sole proprietor health care provider with primary practice located at 1411 N Jefferson St , Carrollton MO 64633-1945. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Newcomb, Richard Lynn can be contacted via phone (660) 542-2715.Contact Information
Primary practice address
1411 N Jefferson St
Carrollton MO 64633-1945
Phone: (660) 542-2715
Fax: (660) 542-2227
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | T02635 | Missouri |
Profile Details
NPI number | 1841309713 |
---|---|
LBN Legal business name | Newcomb, Richard Lynn |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 30th, 2006 |
Last updated | Jun 26th, 2015 - about 9 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 | 1841309713 | NPPES |
Other | 410029304 | RAILROAD MEDICARE | |
Other | 13839018 | RAILROAD MEDICARE | |
Other | 160226 | RAILROAD MEDICARE | |
MEDICAID | 312171705 | RAILROAD MEDICARE |
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