Vaughan, Richard A

Vaughan, Richard A is an individual health care provider with primary practice located at 1 Stadium Drive , Morgantown WV 26506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Vaughan, Richard A can be contacted via phone (304) 598-4800.

Contact Information

Primary practice address
1 Stadium Drive Morgantown WV 26506
Phone: (304) 598-4800
Fax: (304) 293-6963
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 13904 West Virginia
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 13904 West Virginia

Profile Details

NPI number 1710071303
LBN Legal business name Vaughan, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1710071303 NPPES
West Virginia MEDICAID 0128634000

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