Sidlow, Richard

Sidlow, Richard is an individual health care provider with primary practice located at 1020 Hitt St , Columbia MO 65212-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Sidlow, Richard can be contacted via phone (573) 882-6921.

Contact Information

Primary practice address
1020 Hitt St Columbia MO 65212-0001
Phone: (573) 882-6921
Fax: (573) 882-1154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 205196 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A170253 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2023017776 Missouri
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 2023017776 Missouri

Profile Details

NPI number 1689647380
LBN Legal business name Sidlow, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2006
Last updated May 20th, 2024 - about last year

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 1689647380 NPPES
New York MEDICAID 01947731

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