Shomo, Richard Lee

Shomo, Richard Lee is an individual health care provider with primary practice located at 2300 General Meyer Ave Bldg H100, New Orleans LA 70142-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Shomo, Richard Lee can be contacted via phone (504) 678-8148.

Contact Information

Primary practice address
2300 General Meyer Ave Bldg H100 New Orleans LA 70142-0001
Phone: (504) 678-8148
Fax: (504) 678-1596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA04261 Texas

Profile Details

NPI number 1609853720
LBN Legal business name Shomo, Richard Lee
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jun 4th, 2008 - about 16 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 1609853720 NPPES
Louisiana MEDICAID 1037052
Louisiana Other 1049767
Louisiana Other PA04261
Louisiana Other PA200160

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