Waller, Richard R.
Waller, Richard R. is an sole proprietor health care provider with primary practice located at 563 Main St , Bolton MA 01740-1300. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Waller, Richard R. can be contacted via phone (978) 779-5539.Contact Information
Primary practice address
563 Main St
Bolton MA 01740-1300
Phone: (978) 779-5539
Fax: (978) 779-6034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | 881 | Massachusetts |
Profile Details
| NPI number | 1689661944 |
|---|---|
| LBN Legal business name | Waller, Richard R. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Aug 20th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689661944 | NPPES |
| Massachusetts | Other | 706089 | TUFTS HEALTH PLAN |
| Massachusetts | Other | WAY35658 | TUFTS HEALTH PLAN |
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