Richard, Robert

Richard, Robert is an individual health care provider with primary practice located at 1830 Town Center Dr Suite 305, Reston VA 20190-3292. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Brain Injury Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Richard, Robert can be contacted via phone (703) 478-0601.

Contact Information

Primary practice address
1830 Town Center Dr Suite 305 Reston VA 20190-3292
Phone: (703) 478-0601
Fax: (703) 876-0866
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Brain Injury Medicine 2084P0301X 0101054607 Virginia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101054607 Virginia

Profile Details

NPI number 1750350989
LBN Legal business name Richard, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jun 8th, 2022 - about 3 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 1750350989 NPPES
Virginia MEDICAID 6104134

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