Sidwell, Richard
Sidwell, Richard is an individual health care provider with primary practice located at 1212 Pleasant St Suite 211, Des Moines IA 50309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sidwell, Richard can be contacted via phone (515) 875-9770.Contact Information
Primary practice address
1212 Pleasant St Suite 211
Des Moines IA 50309
Phone: (515) 875-9770
Fax: (515) 875-9771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD-32345 | Iowa |
Profile Details
| NPI number | 1063407195 |
|---|---|
| LBN Legal business name | Sidwell, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jan 11th, 2024 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063407195 | NPPES |
| Iowa | MEDICAID | 2170316 |
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