Worley, Richard C.

Worley, Richard C. is an sole proprietor health care provider with primary practice located at 1 Old Mill Cir , Joplin MO 64804-5804. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Worley, Richard C. can be contacted via phone (417) 437-2712.

Contact Information

Primary practice address
1 Old Mill Cir Joplin MO 64804-5804
Phone: (417) 437-2712
Fax: (417) 627-0130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 111469 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CO1214 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 55052 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0073155 Oklahoma

Profile Details

NPI number 1285636803
LBN Legal business name Worley, Richard C.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated May 20th, 2008 - about 16 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 1285636803 NPPES
Missouri MEDICAID 912886629

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