Powell, Richard Stewart
Powell, Richard Stewart 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 Stewart can be contacted via phone (530) 268-9769.Contact Information
Primary practice address
10044 Wolf Rd Suite D
Grass Valley CA 95949-8193
Phone: (530) 268-9769
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 21500 | California |
Profile Details
| NPI number | 1265551089 |
|---|---|
| LBN Legal business name | Powell, Richard Stewart |
| Credentials | Doctor of Dental Medicine (DMD) |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265551089 | NPPES |
| California | MEDICAID | G9384501 |
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