Richards, Melvin J.
Richards, Melvin J. is an individual health care provider with primary practice located at 615 Valley View Dr. Suite 202, Moline IL 61265-6180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Richards, Melvin J. can be contacted via phone (309) 762-1072.Contact Information
Primary practice address
615 Valley View Dr. Suite 202
Moline IL 61265-6180
Phone: (309) 762-1072
Fax: (309) 762-1094
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036-045892 | Illinois |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 17497 | Iowa |
Profile Details
NPI number | 1508866351 |
---|---|
LBN Legal business name | Richards, Melvin J. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 22nd, 2005 |
Last updated | Jul 16th, 2010 - about 14 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 | 1508866351 | NPPES |
Iowa | MEDICAID | 7916924 | |
Iowa | MEDICAID | 9916924 | |
Iowa | MEDICAID | 5916924 | |
Iowa | Other | 95101 | |
Iowa | Other | 20144 | |
Iowa | Other | 47823 | |
Iowa | MEDICAID | 1576694 | |
Iowa | MEDICAID | 2576694 | |
Iowa | MEDICAID | 3576694 | |
Iowa | MEDICAID | 036045892 | |
Iowa | Other | 97671 | |
Iowa | MEDICAID | 0576694 | |
Iowa | MEDICAID | 4916924 | |
Iowa | MEDICAID | 8916924 |
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