Wall, Richard
Wall, Richard is an individual health care provider with primary practice located at 1900 116Th Ave Ne Suite 210, Bellevue WA 98004-3052. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Wall, Richard can be contacted via phone (425) 451-8831.Contact Information
Primary practice address
1900 116Th Ave Ne Suite 210
Bellevue WA 98004-3052
Phone: (425) 451-8831
Fax: (425) 451-8831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | OI00000394 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | PS00000395 | Washington |
Profile Details
| NPI number | 1508058991 |
|---|---|
| LBN Legal business name | Wall, Richard |
| Credentials | CPO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2007 |
| Last updated | Sep 25th, 2009 - about 15 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 | 1508058991 | NPPES |
| Washington | MEDICAID | 9036963 |
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