Stewart, Richard A

Stewart, Richard A is an individual health care provider with primary practice located at 1527 Broadway St , Alexandria MN 56308-2537. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Stewart, Richard A can be contacted via phone (320) 762-0399.

Contact Information

Primary practice address
1527 Broadway St Alexandria MN 56308-2537
Fax: (320) 762-6847
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20711 Minnesota

Profile Details

NPI number 1952372427
LBN Legal business name Stewart, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Jun 3rd, 2008 - about 17 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 1952372427 NPPES
Minnesota Other 930019112 RR MEDICARE
Minnesota Other 39-00231 RR MEDICARE
Minnesota Other 3T975ST RR MEDICARE
Minnesota MEDICAID 713377400 RR MEDICARE
Minnesota Other 930001107 RR MEDICARE
Minnesota Other HP27840 RR MEDICARE

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