Storm, Richard Mason

Storm, Richard Mason is an sole proprietor health care provider with primary practice located at 622 N Madison Ave Ste 5, Greenwood IN 46142-4052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as his primary health care specialty. Storm, Richard Mason can be contacted via phone (317) 743-8930.

Contact Information

Primary practice address
622 N Madison Ave Ste 5 Greenwood IN 46142-4052
Phone: (317) 743-8930
Fax: (317) 743-8937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 01029002A Indiana

Profile Details

NPI number 1922003086
LBN Legal business name Storm, Richard Mason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Nov 29th, 2016 - about 8 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 1922003086 NPPES
Indiana Other 15D0352826 CLIA

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