Elsworth, Richard

Elsworth, Richard is an sole proprietor health care provider with primary practice located at 1402 W Court St , Flint MI 48503-5004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Elsworth, Richard can be contacted via phone (810) 767-3220.

Contact Information

Primary practice address
1402 W Court St Flint MI 48503-5004
Phone: (810) 767-3220
Fax: (810) 767-7969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 5101009256 Michigan

Profile Details

NPI number 1407954589
LBN Legal business name Elsworth, Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1407954589 NPPES
Michigan Other 160B576250 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 112647368 BLUE CROSS BLUE SHIELD

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