Whittlesey, Richard R
Whittlesey, Richard R is an individual health care provider with primary practice located at 4601 Corbett Dr , Fort Collins CO 80528-9579. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Whittlesey, Richard R can be contacted via phone (970) 207-4800.Contact Information
Primary practice address
4601 Corbett Dr
Fort Collins CO 80528-9579
Phone: (970) 207-4800
Fax: (970) 207-4885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 00194 | Iowa |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 00072 | Iowa |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY.0003103 | Colorado |
Profile Details
| NPI number | 1063400851 |
|---|---|
| LBN Legal business name | Whittlesey, Richard R |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Apr 13th, 2016 - about 8 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 | 1063400851 | NPPES |
| Iowa | MEDICAID | 2008243 | |
| Iowa | Other | IA01A1 | |
| Iowa | Other | 42660 |
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