Wells, Richard Lee

Wells, Richard Lee is an sole proprietor health care provider with primary practice located at 120 Brooks St Apt 17 , Licking MO 65542-8031. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Pastoral, Other Service Providers / Interpreter. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wells, Richard Lee can be contacted via phone (573) 889-9534.

Contact Information

Primary practice address
120 Brooks St Apt 17 Licking MO 65542-8031
Phone: (573) 889-9534
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2002020616 Missouri
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Other Service Providers / Interpreter 171R00000X

Profile Details

NPI number 1841493434
LBN Legal business name Wells, Richard Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2007
Last updated Jan 5th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841493434 NPPES
Missouri MEDICAID 498829100

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