Delvalle, Richard K
Delvalle, Richard K is an individual health care provider with primary practice located at 1304 Burnett Dr , Taylorville IL 62568-9519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Delvalle, Richard K can be contacted via phone (217) 321-9310.Contact Information
Primary practice address
1304 Burnett Dr
Taylorville IL 62568-9519
Phone: (217) 321-9310
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-075738 | Illinois |
Profile Details
| NPI number | 1932290384 |
|---|---|
| LBN Legal business name | Delvalle, Richard K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Dec 29th, 2021 - about 5 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 | 1932290384 | NPPES |
| Illinois | MEDICAID | 036075738 |
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