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
Phone: (253) 426-6739
Fax: (253) 835-5511
Website:
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1215995253 | NPPES |
Washington | MEDICAID | 2066906 |
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