Pape, Richard A
Pape, Richard A is an individual health care provider with primary practice located at 3101 Breckenridge Ln Ste 2D, Louisville KY 40220-2742. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Other Service Providers / Specialist. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Pape, Richard A can be contacted via phone (502) 459-8012.Contact Information
Primary practice address
3101 Breckenridge Ln Ste 2D
Louisville KY 40220-2742
Phone: (502) 459-8012
Fax: (502) 459-8021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 7116 | Kentucky |
| Other Service Providers / Specialist | 174400000X | 7116 | Kentucky |
Profile Details
| NPI number | 1053312066 |
|---|---|
| LBN Legal business name | Pape, Richard A |
| Credentials | DMD MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jan 9th, 2008 - about 16 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 | 1053312066 | NPPES |
| Kentucky | Other | 60000783 | MEDICAID - DENTAL |
| Kentucky | MEDICAID | 64029069 | MEDICAID - DENTAL |
| Kentucky | Other | 1141783 | MEDICAID - DENTAL |
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