Mudd, Richard Dyer

Mudd, Richard Dyer is an individual health care provider with primary practice located at 2205 S Galisteo St , Santa Fe NM 87505. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Mudd, Richard Dyer can be contacted via phone (505) 820-5899.

Contact Information

Primary practice address
2205 S Galisteo St Santa Fe NM 87505
Phone: (505) 820-5899
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1348 New Mexico

Profile Details

NPI number 1548325376
LBN Legal business name Mudd, Richard Dyer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Dec 11th, 2007 - about 19 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 1548325376 NPPES
Other 1004541 LOVELACE HSC
MEDICAID 000Z0979 LOVELACE HSC
Other 14763 LOVELACE HSC
Other NM01E22 LOVELACE HSC

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