Ratliff, Richard Glenn

Ratliff, Richard Glenn is an individual health care provider with primary practice located at 1919 14Th St Suite 600, Boulder CO 80302-5310. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ratliff, Richard Glenn can be contacted via phone (303) 440-0072.

Contact Information

Primary practice address
1919 14Th St Suite 600 Boulder CO 80302-5310
Phone: (303) 440-0072
Fax: (303) 530-0419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 330 Colorado

Profile Details

NPI number 1225091515
LBN Legal business name Ratliff, Richard Glenn
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2006
Last updated Jul 8th, 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 1225091515 NPPES
Colorado MEDICAID 07003304

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