Black, Richard R

Black, Richard R is an individual health care provider with primary practice located at 28062 Baxter Rd , Murrieta CA 92563-1401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Black, Richard R can be contacted via phone (951) 290-4000.

Contact Information

Primary practice address
28062 Baxter Rd Murrieta CA 92563-1401
Phone: (951) 290-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34003488 Ohio
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 34003488 Ohio

Profile Details

NPI number 1093798720
LBN Legal business name Black, Richard R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jan 27th, 2023 - about 3 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 1093798720 NPPES
Pennsylvania MEDICAID 0019707330001
Pennsylvania Other 3312151 00
Pennsylvania MEDICAID 8470726
Pennsylvania Other BL4212094
Pennsylvania MEDICAID 0834262

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