Dorotheo, Ricardo R

Dorotheo, Ricardo R is an individual health care provider with primary practice located at 1600 23Rd St , Bedford IN 47421-4704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dorotheo, Ricardo R can be contacted via phone (812) 276-1240.

Contact Information

Primary practice address
1600 23Rd St Bedford IN 47421-4704
Fax: (812) 276-1237
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01042508A Indiana

Profile Details

NPI number 1639193550
LBN Legal business name Dorotheo, Ricardo R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jan 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639193550 NPPES
Indiana MEDICAID 200008310
Indiana Other 000000594471

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