Whitehead, Richard James

Whitehead, Richard James is an individual health care provider with primary practice located at 410 Saybrook Rd Suite 201, Middletown CT 06457-4777. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Whitehead, Richard James can be contacted via phone (860) 347-4620.

Contact Information

Primary practice address
410 Saybrook Rd Suite 201 Middletown CT 06457-4777
Phone: (860) 347-4620
Fax: (860) 344-5995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 000881 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0000881 Connecticut

Profile Details

NPI number 1487630919
LBN Legal business name Whitehead, Richard James
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Mar 25th, 2015 - about 9 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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