Stagg, Richard D

Stagg, Richard D is an individual health care provider with primary practice located at 120 S Filbert St , Mechanicsburg PA 17055-6539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Stagg, Richard D can be contacted via phone (717) 795-6656.

Contact Information

Primary practice address
120 S Filbert St Mechanicsburg PA 17055-6539
Phone: (717) 795-6656
Fax: (717) 795-6658
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD046637L Pennsylvania

Profile Details

NPI number 1396709887
LBN Legal business name Stagg, Richard D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated May 7th, 2009 - about 15 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 1396709887 NPPES
Pennsylvania MEDICAID 0016074660006
Pennsylvania Other 151885
Pennsylvania Other 1533511
Pennsylvania Other 84931
Pennsylvania MEDICAID 0016074660007
Pennsylvania Other 30024886
Pennsylvania Other 50033281
Pennsylvania Other HIGHMARK BS

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