Standaert, Richard Ernest

Standaert, Richard Ernest is an individual health care provider with primary practice located at 1802 Yakima Ave Ste 104 , Tacoma WA 98405-5303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Standaert, Richard Ernest can be contacted via phone (253) 426-6739.

Contact Information

Primary practice address
1802 Yakima Ave Ste 104 Tacoma WA 98405-5303
Fax: (253) 835-5511
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD60569917 Washington

Profile Details

NPI number 1215995253
LBN Legal business name Standaert, Richard Ernest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jan 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215995253 NPPES
Washington MEDICAID 2066906

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