Ross, Richard L
Ross, Richard L is an sole proprietor health care provider with primary practice located at 68 National Dr , Glastonbury CT 06033. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ross, Richard L can be contacted via phone (860) 633-8040.Contact Information
Primary practice address
68 National Dr
Glastonbury CT 06033
Phone: (860) 633-8040
Fax: (860) 633-8047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 004782 | Connecticut |
Profile Details
| NPI number | 1306030713 |
|---|---|
| LBN Legal business name | Ross, Richard L |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2007 |
| Last updated | Aug 29th, 2007 - about 18 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 | 1306030713 | NPPES |
| Connecticut | Other | 080004782CT16 | BC |
| Connecticut | Other | 52301 | BC |
| Connecticut | Other | 4339765CT | BC |
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