Yudell, Richard Lawrence
Yudell, Richard Lawrence is an sole proprietor health care provider with primary practice located at 1601 Montgomery Ave , Villanova PA 19085-1918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Yudell, Richard Lawrence can be contacted via phone (215) 831-2830.Contact Information
Primary practice address
1601 Montgomery Ave
Villanova PA 19085-1918
Phone: (215) 831-2830
Fax: (215) 831-2929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD038162L | Pennsylvania |
Profile Details
| NPI number | 1003990797 |
|---|---|
| LBN Legal business name | Yudell, Richard Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003990797 | NPPES |
| Pennsylvania | MEDICAID | 0005549490001 |
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