Prim, Richard Charles

Prim, Richard Charles is an individual health care provider with primary practice located at 20 W Bank St Suite 6, Petersburg VA 23803-3279. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Prim, Richard Charles can be contacted via phone (804) 862-8002.

Contact Information

Primary practice address
20 W Bank St Suite 6 Petersburg VA 23803-3279
Phone: (804) 862-8002
Fax: (804) 862-8023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1619122298
LBN Legal business name Prim, Richard Charles
Credentials M.S. C.R.P. C.P.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2008
Last updated Nov 24th, 2008 - about 18 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 1619122298 NPPES
Virginia MEDICAID 1225094451

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