Minielly, Richard Wesley
Minielly, Richard Wesley is an sole proprietor health care provider with primary practice located at 63 Office Park Drive , Roanoke Rapids NC 27870. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Minielly, Richard Wesley can be contacted via phone (252) 535-4343.Contact Information
Primary practice address
63 Office Park Drive
Roanoke Rapids NC 27870
Phone: (252) 535-4343
Fax: (252) 308-0977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35991 | North Carolina |
Profile Details
| NPI number | 1659331627 |
|---|---|
| LBN Legal business name | Minielly, Richard Wesley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Nov 29th, 2011 - about 15 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 | 1659331627 | NPPES |
| North Carolina | MEDICAID | 8959536 |
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