Carroll, Richard Peyton

Carroll, Richard Peyton is an individual health care provider with primary practice located at 14508 Ne 20Th Ave Suite 102, Vancouver WA 98686-6424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carroll, Richard Peyton can be contacted via phone (360) 574-9730.

Contact Information

Primary practice address
14508 Ne 20Th Ave Suite 102 Vancouver WA 98686-6424
Phone: (360) 574-9730
Fax: (360) 576-7662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP00002292 Washington

Profile Details

NPI number 1619966744
LBN Legal business name Carroll, Richard Peyton
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jun 26th, 2008 - about 18 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 1619966744 NPPES
Washington MEDICAID 8499824

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