Richmond, Rodney

Richmond, Rodney is an individual health care provider with primary practice located at 1575 Washington St , Watertown NY 13601-9367. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Richmond, Rodney can be contacted via phone (315) 779-5070.

Contact Information

Primary practice address
1575 Washington St Watertown NY 13601-9367
Phone: (315) 779-5070
Fax: (315) 779-5084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 007587 New York

Profile Details

NPI number 1679515423
LBN Legal business name Richmond, Rodney
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Aug 1st, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679515423 NPPES
New York MEDICAID 00354316

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