Lane, David Richey
Lane, David Richey is an sole proprietor health care provider with primary practice located at 15830 Ballantyne Medical Place Ste 225, Charlotte NC 28277-3294. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Lane, David Richey can be contacted via phone (704) 919-1105.Contact Information
Primary practice address
15830 Ballantyne Medical Place Ste 225
Charlotte NC 28277-3294
Phone: (704) 919-1105
Fax: (704) 910-3163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 200600844 | North Carolina |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 00844 | North Carolina |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 00844 | North Carolina |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 00844 | North Carolina |
Profile Details
| NPI number | 1093744096 |
|---|---|
| LBN Legal business name | Lane, David Richey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | May 8th, 2017 - about 9 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 | 1093744096 | NPPES |
| North Carolina | Other | 2075624 | MEDICARE GROUP PTAN |
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