Whalen, Richard B

Whalen, Richard B is an individual health care provider with primary practice located at 339 W Spring St Suite 102, Titusville PA 16354-1655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Whalen, Richard B can be contacted via phone (814) 827-9675.

Contact Information

Primary practice address
339 W Spring St Suite 102 Titusville PA 16354-1655
Fax: (814) 827-0216
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD055364L Pennsylvania

Profile Details

NPI number 1043202138
LBN Legal business name Whalen, Richard B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043202138 NPPES
Pennsylvania MEDICAID 0015347440003

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