Sisson, Richard B
Sisson, Richard B is an individual health care provider with primary practice located at 6501 Loisdale Ct Fl 7 , Springfield VA 22150-1826. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Sisson, Richard B can be contacted via phone (703) 922-1152.Contact Information
Primary practice address
6501 Loisdale Ct Fl 7
Springfield VA 22150-1826
Phone: (703) 922-1152
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 0101264197 | Virginia |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | DR46752 | Colorado |
Profile Details
| NPI number | 1508020918 |
|---|---|
| LBN Legal business name | Sisson, Richard B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2008 |
| Last updated | Jun 9th, 2021 - about 5 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 | 1508020918 | NPPES |
| Colorado | Other | 21781 | KAISER COMMERCIAL NUMBER |
| Colorado | MEDICAID | 14226049 | KAISER COMMERCIAL NUMBER |
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