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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538163985 | NPPES |
| Indiana | MEDICAID | 200427120 | |
| Indiana | MEDICAID | 3810010288 | |
| Indiana | MEDICAID | 64057748 |
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