Sepela, Richard D

Sepela, Richard D is an individual health care provider with primary practice located at 269 S Candy Ln , Cottonwood AZ 86326-4158. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Sepela, Richard D can be contacted via phone (928) 639-6150.

Contact Information

Primary practice address
269 S Candy Ln Cottonwood AZ 86326-4158
Fax: (928) 639-6561
Website:

Profile Details

NPI number 1467456335
LBN Legal business name Sepela, Richard D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467456335 NPPES
Nevada MEDICAID 100512505
Nevada MEDICAID 152517

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