Perry, Richard Clark
Perry, Richard Clark is an individual health care provider with primary practice located at 8205 E 56Th Street Suite 100, Indianapolis IN 46216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Perry, Richard Clark can be contacted via phone (317) 621-4044.Contact Information
Primary practice address
8205 E 56Th Street Suite 100
Indianapolis IN 46216
Phone: (317) 621-4044
Fax: (317) 621-4050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 02001843A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 02001843A | Indiana |
Profile Details
| NPI number | 1871562645 |
|---|---|
| LBN Legal business name | Perry, Richard Clark |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Jun 10th, 2021 - about 5 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 | 1871562645 | NPPES |
| Indiana | MEDICAID | 200234480 | |
| Indiana | Other | 5454033 | |
| Indiana | Other | P00999138 | |
| Indiana | Other | 000000639913 |
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