Thatcher, Richard Lee

Thatcher, Richard Lee is an individual health care provider with primary practice located at 3611 S Reed Rd Suite 104, Kokomo IN 46902-3828. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Thatcher, Richard Lee can be contacted via phone (765) 453-5892.

Contact Information

Primary practice address
3611 S Reed Rd Suite 104 Kokomo IN 46902-3828
Phone: (765) 453-5892
Fax: (765) 453-8262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07000359 Indiana

Profile Details

NPI number 1669566725
LBN Legal business name Thatcher, Richard Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Nov 30th, 2011 - about 14 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 1669566725 NPPES
Indiana Other 000000084316 ANTHEM BCBS
Indiana Other 0351930001 ANTHEM BCBS
Indiana MEDICAID 100234130 ANTHEM BCBS
Indiana Other 406480189 ANTHEM BCBS

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