Powell, Richard Sterling

Powell, Richard Sterling is an individual health care provider with primary practice located at 10044 Wolf Rd Suite D, Grass Valley CA 95949-8193. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Powell, Richard Sterling can be contacted via phone (530) 268-8182.

Contact Information

Primary practice address
10044 Wolf Rd Suite D Grass Valley CA 95949-8193
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 53100 California

Profile Details

NPI number 1457470254
LBN Legal business name Powell, Richard Sterling
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457470254 NPPES
California MEDICAID G9384501

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