Sherry, Richard G

Sherry, Richard G is an sole proprietor health care provider with primary practice located at 1340 Washington St , Watertown NY 13601-4541. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Sherry, Richard G can be contacted via phone (315) 782-9003.

Contact Information

Primary practice address
1340 Washington St Watertown NY 13601-4541
Phone: (315) 782-9003
Fax: (315) 782-9010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 37675 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 37675 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101-242529 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 126687 New York

Profile Details

NPI number 1538163985
LBN Legal business name Sherry, Richard G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Apr 29th, 2016 - about 8 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 1538163985 NPPES
Indiana MEDICAID 200427120
Indiana MEDICAID 3810010288
Indiana MEDICAID 64057748

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