Walter, Richard Douglas
Walter, Richard Douglas is an sole proprietor health care provider with primary practice located at 87 Selkirk Rd , Williamsport PA 17701-1810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Walter, Richard Douglas can be contacted via phone (570) 326-4828.Contact Information
Primary practice address
87 Selkirk Rd
Williamsport PA 17701-1810
Phone: (570) 326-4828
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD029360E | Pennsylvania |
Profile Details
| NPI number | 1104982586 |
|---|---|
| LBN Legal business name | Walter, Richard Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1104982586 | NPPES |
| Pennsylvania | MEDICAID | 0908213 |
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