Shorter, Richard A

Shorter, Richard A is an individual health care provider with primary practice located at 756 Athens Rd , Princeton WV 24740-6261. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shorter, Richard A can be contacted via phone (304) 425-0716.

Contact Information

Primary practice address
756 Athens Rd Princeton WV 24740-6261
Fax: (304) 487-1322
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1105 West Virginia

Profile Details

NPI number 1770587172
LBN Legal business name Shorter, Richard A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated May 31st, 2024 - about 7 months 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 1770587172 NPPES
Other 262907 CARELINK
Other 541839718107 CARELINK
Other 1038179 CARELINK
MEDICAID 010109892 CARELINK
Other 541839718 CARELINK
MEDICAID 3810001390 CARELINK
Other 4324131 CARELINK
Other 5181179 CARELINK
Other P00173397 CARELINK

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