Taxin, Richard
Taxin, Richard is an individual health care provider with primary practice located at 1 Medical Center Blvd , Upland PA 19013-3902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Taxin, Richard can be contacted via phone (610) 447-2517.Contact Information
Primary practice address
1 Medical Center Blvd
Upland PA 19013-3902
Phone: (610) 447-2517
Fax: (610) 956-0069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD015422E | Pennsylvania |
Profile Details
| NPI number | 1902890890 |
|---|---|
| LBN Legal business name | Taxin, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Mar 8th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902890890 | NPPES |
| Pennsylvania | MEDICAID | 0655558 |
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