Marasa, Richard A
Marasa, Richard A is an sole proprietor health care provider with primary practice located at 289 County Rd , Windsor VT 05089-9000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Marasa, Richard A can be contacted via phone (802) 674-7220.Contact Information
Primary practice address
289 County Rd
Windsor VT 05089-9000
Phone: (802) 674-7220
Fax: (802) 674-7006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 042-0008688 | Vermont |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 282042 | Massachusetts |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 15037 | New Hampshire |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 15037 | New Hampshire |
Profile Details
| NPI number | 1174518708 |
|---|---|
| LBN Legal business name | Marasa, Richard A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jun 4th, 2024 - about 2 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 | 1174518708 | NPPES |
| New Hampshire | MEDICAID | 3079550 | |
| New Hampshire | MEDICAID | 0VN0577 | |
| New Hampshire | Other | 15037 |
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