Perry, Richard T

Perry, Richard T is an individual health care provider with primary practice located at 23829 Little Mack Ave Suite 100, Saint Clair Shores MI 48080-1186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Perry, Richard T can be contacted via phone (586) 773-1300.

Contact Information

Primary practice address
23829 Little Mack Ave Suite 100 Saint Clair Shores MI 48080-1186
Phone: (586) 773-1300
Fax: (586) 773-1600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X RP066358 Michigan

Profile Details

NPI number 1467414052
LBN Legal business name Perry, Richard T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Nov 27th, 2012 - 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 1467414052 NPPES
Michigan Other C4762 MCARE
Michigan MEDICAID 3164704 MCARE
Michigan Other 0821872 MCARE

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