Richards, Shawn Charles

Richards, Shawn Charles is an individual health care provider with primary practice located at 2500 W A St Suite 202, Moscow ID 83843-6000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Richards, Shawn Charles can be contacted via phone (208) 882-4662.

Contact Information

Primary practice address
2500 W A St Suite 202 Moscow ID 83843-6000
Phone: (208) 882-4662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 49995 Colorado
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD60292777 Washington
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M-12529 Idaho

Profile Details

NPI number 1598929796
LBN Legal business name Richards, Shawn Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2008
Last updated Dec 28th, 2016 - about 10 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 1598929796 NPPES
Washington Other P01110201 RR MEDICARE
Washington Other 0299990 RR MEDICARE
Washington MEDICAID 1598929796 RR MEDICARE

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