Shomo, Richard Lee
Shomo, Richard Lee is an individual health care provider with primary practice located at 2300 General Meyer Ave Bldg H100, New Orleans LA 70142-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Shomo, Richard Lee can be contacted via phone (504) 678-8148.Contact Information
Primary practice address
2300 General Meyer Ave Bldg H100
New Orleans LA 70142-0001
Phone: (504) 678-8148
Fax: (504) 678-1596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA04261 | Texas |
Profile Details
| NPI number | 1609853720 |
|---|---|
| LBN Legal business name | Shomo, Richard Lee |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Jun 4th, 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 | 1609853720 | NPPES |
| Louisiana | MEDICAID | 1037052 | |
| Louisiana | Other | 1049767 | |
| Louisiana | Other | PA04261 | |
| Louisiana | Other | PA200160 |
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