Carson, Richard Leonard

Carson, Richard Leonard is an individual health care provider with primary practice located at 810 S 6Th St , Monticello IN 47960-8201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Carson, Richard Leonard can be contacted via phone (574) 583-2575.

Contact Information

Primary practice address
810 S 6Th St Monticello IN 47960-8201
Phone: (574) 583-2575
Fax: (574) 583-8945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01026206A Indiana

Profile Details

NPI number 1225090822
LBN Legal business name Carson, Richard Leonard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jul 19th, 2012 - about 14 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 1225090822 NPPES
Indiana Other P00139770 PALMETTO MEDICARE
Indiana Other 000000742808 PALMETTO MEDICARE
Indiana Other 000000079537 PALMETTO MEDICARE
Indiana MEDICAID 100474970 PALMETTO MEDICARE

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