Wall, Richard J
Wall, Richard J is an individual health care provider with primary practice located at 4011 Talbot Rd S Ste 460, Renton WA 98055-5773. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Wall, Richard J can be contacted via phone (425) 251-5110.Contact Information
Primary practice address
4011 Talbot Rd S Ste 460
Renton WA 98055-5773
Phone: (425) 251-5110
Fax: (425) 793-7382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD00042456 | Washington |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD00042456 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00042456 | Washington |
Profile Details
| NPI number | 1184780728 |
|---|---|
| LBN Legal business name | Wall, Richard J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Aug 14th, 2017 - about 7 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 | 1184780728 | NPPES |
| Washington | MEDICAID | 104443 | |
| Washington | Other | 0217509 | |
| Washington | Other | 4033WA | |
| Washington | Other | P00601617 | |
| Washington | MEDICAID | 8472995 |
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