Edmiston, Richard Allen

Edmiston, Richard Allen is an sole proprietor health care provider with primary practice located at 2375 E Prater Way , Sparks NV 89434-9641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Edmiston, Richard Allen can be contacted via phone (775) 356-4900.

Contact Information

Primary practice address
2375 E Prater Way Sparks NV 89434-9641
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4410 Nevada

Profile Details

NPI number 1528134319
LBN Legal business name Edmiston, Richard Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2006
Last updated May 1st, 2014 - about 12 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 1528134319 NPPES
Nevada MEDICAID 002016811

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