Neville, Richard
Neville, Richard is an sole proprietor health care provider with primary practice located at 13128 N 94Th Dr Ste 100 , Peoria AZ 85381-4252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Neville, Richard can be contacted via phone (623) 259-5900.Contact Information
Primary practice address
13128 N 94Th Dr Ste 100
Peoria AZ 85381-4252
Phone: (623) 259-5900
Fax: (833) 766-3364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 22767 | Arizona |
Profile Details
| NPI number | 1457394199 |
|---|---|
| LBN Legal business name | Neville, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Aug 8th, 2022 - about 4 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 | 1457394199 | NPPES |
| Arizona | MEDICAID | 313940-01 | |
| Arizona | Other | AZ0378280 | |
| Arizona | Other | IZ1738 | |
| Arizona | Other | 4216993 |
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