Vonhagn, Richard L

Vonhagn, Richard L is an individual health care provider with primary practice located at 600 Roe Ave , Elmira NY 14905-1629. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Vonhagn, Richard L can be contacted via phone (607) 735-4623.

Contact Information

Primary practice address
600 Roe Ave Elmira NY 14905-1629
Phone: (607) 735-4623
Fax: (607) 737-4530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F333853 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F333853 New York

Profile Details

NPI number 1538213368
LBN Legal business name Vonhagn, Richard L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Nov 14th, 2015 - about 10 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 1538213368 NPPES
New York MEDICAID 02553400

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