Perry, Richard T
Perry, Richard T is an individual health care provider with primary practice located at 1300 N 12Th St 512, Phoenix AZ 85006-2848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Perry, Richard T can be contacted via phone (602) 258-1519.Contact Information
Primary practice address
1300 N 12Th St 512
Phoenix AZ 85006-2848
Phone: (602) 258-1519
Fax: (602) 258-5842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 12495 | Arizona |
Profile Details
| NPI number | 1588621197 |
|---|---|
| LBN Legal business name | Perry, Richard T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | May 27th, 2008 - about 18 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 | 1588621197 | NPPES |
| Arizona | MEDICAID | 219768 |
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