Stahl, Richard D

Stahl, Richard D is an individual health care provider with primary practice located at 916 Koala Ave , Omak WA 98841-9576. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stahl, Richard D can be contacted via phone (509) 826-1800.

Contact Information

Primary practice address
916 Koala Ave Omak WA 98841-9576
Phone: (509) 826-1800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA557 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004944 Washington

Profile Details

NPI number 1760448294
LBN Legal business name Stahl, Richard D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated May 31st, 2013 - about 11 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 1760448294 NPPES
Washington Other P01141753 RR MEDICARE
Washington Other 0301978 RR MEDICARE
Washington MEDICAID 1760448294 RR MEDICARE

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