Lilly, Richard B
Lilly, Richard B is an individual health care provider with primary practice located at 99 E River Dr 5Th Floor, East Hartford CT 06108-3288. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Lilly, Richard B can be contacted via phone (860) 282-4022.Contact Information
Primary practice address
99 E River Dr 5Th Floor
East Hartford CT 06108-3288
Phone: (860) 282-4022
Fax: (860) 289-0746
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 015713 | Connecticut |
Profile Details
| NPI number | 1336135631 |
|---|---|
| LBN Legal business name | Lilly, Richard B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | May 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336135631 | NPPES |
| Connecticut | MEDICAID | 001157130 |
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