Bennett, Richard Leroy

Bennett, Richard Leroy is an individual health care provider with primary practice located at 1510 North 28Th Street Suite 207, Richmond VA 23223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bennett, Richard Leroy can be contacted via phone (804) 649-0044.

Contact Information

Primary practice address
1510 North 28Th Street Suite 207 Richmond VA 23223
Phone: (804) 649-0044
Fax: (804) 649-0758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101233413 Virginia

Profile Details

NPI number 1699834796
LBN Legal business name Bennett, Richard Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 19 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 1699834796 NPPES
Virginia MEDICAID 6737188

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