Rettig, Richard

Rettig, Richard is an sole proprietor health care provider with primary practice located at 1335 W Tabor Rd Ste 206, Philadelphia PA 19141-3040. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Rettig, Richard can be contacted via phone (215) 927-2837.

Contact Information

Primary practice address
1335 W Tabor Rd Ste 206 Philadelphia PA 19141-3040
Phone: (215) 927-2837
Fax: (215) 927-2008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X SC-002203-L Pennsylvania

Profile Details

NPI number 1255334439
LBN Legal business name Rettig, Richard
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Mar 13th, 2023 - about last year

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 1255334439 NPPES
Pennsylvania Other 480001607 RAILROAD MEDICARE
Pennsylvania MEDICAID 0007644720004 RAILROAD MEDICARE

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