Scupham, Richard Kent
Scupham, Richard Kent is an individual health care provider with primary practice located at 1212 Pleasant #Ll3, Des Moines IA 50309-1414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Scupham, Richard Kent can be contacted via phone (515) 241-8866.Contact Information
Primary practice address
1212 Pleasant #Ll3
Des Moines IA 50309-1414
Phone: (515) 241-8866
Fax: (515) 241-8855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 24041 | Iowa |
Profile Details
| NPI number | 1316038490 |
|---|---|
| LBN Legal business name | Scupham, Richard Kent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316038490 | NPPES |
| Iowa | MEDICAID | 0147835 |
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