Lauderdale, Richard R

Lauderdale, Richard R is an individual health care provider with primary practice located at 420 South 7Th Street , Oakes ND 58474-2024. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Lauderdale, Richard R can be contacted via phone (701) 742-3267.

Contact Information

Primary practice address
420 South 7Th Street Oakes ND 58474-2024
Phone: (701) 742-3267
Fax: (701) 742-3201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PAC0054 North Dakota

Profile Details

NPI number 1275563363
LBN Legal business name Lauderdale, Richard R
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated May 21st, 2008 - about 18 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 1275563363 NPPES
North Dakota Other CF8850 RAILROAD MEDICARE
North Dakota Other 18895 RAILROAD MEDICARE

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