Sellers, Richard Graham
Sellers, Richard Graham is an individual health care provider with primary practice located at 4700 Bayou Blvd Ste 1C , Pensacola FL 32503-2670. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Sellers, Richard Graham can be contacted via phone (850) 916-9777.Contact Information
Primary practice address
4700 Bayou Blvd Ste 1C
Pensacola FL 32503-2670
Phone: (850) 916-9777
Fax: (850) 916-0763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME0053098 | Florida |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | ME0053098 | Florida |
Profile Details
| NPI number | 1376546028 |
|---|---|
| LBN Legal business name | Sellers, Richard Graham |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Dec 3rd, 2020 - about 6 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 | 1376546028 | NPPES |
| Florida | MEDICAID | 055627100 |
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