Richter, Gresham T
Richter, Gresham T is an individual health care provider with primary practice located at 800 Marshall St Slot#653, Little Rock AR 72202-3510. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Richter, Gresham T can be contacted via phone (501) 364-4000.Contact Information
Primary practice address
800 Marshall St Slot#653
Little Rock AR 72202-3510
Phone: (501) 364-4000
Fax: (501) 686-8029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35.088306 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | E5742 | Arkansas |
Profile Details
| NPI number | 1093858581 |
|---|---|
| LBN Legal business name | Richter, Gresham T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Dec 10th, 2008 - about 16 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 | 1093858581 | NPPES |
| Arkansas | MEDICAID | 172425001 |
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