Shell, Richard Davis

Shell, Richard Davis is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Shell, Richard Davis can be contacted via phone (614) 722-4766.

Contact Information

Primary practice address
700 Childrens Dr Columbus OH 43205-2664
Fax: (614) 722-4755
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 35067078 Ohio

Profile Details

NPI number 1497741110
LBN Legal business name Shell, Richard Davis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jun 7th, 2023 - about 2 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 1497741110 NPPES
Kentucky MEDICAID 64963051
Kentucky MEDICAID 0171657
Kentucky MEDICAID 6700125000

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