Shorter, Richard A
Shorter, Richard A is an individual health care provider with primary practice located at 756 Athens Rd , Princeton WV 24740-6261. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shorter, Richard A can be contacted via phone (304) 425-0716.Contact Information
Primary practice address
756 Athens Rd
Princeton WV 24740-6261
Phone: (304) 425-0716
Fax: (304) 487-1322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1105 | West Virginia |
Profile Details
| NPI number | 1770587172 |
|---|---|
| LBN Legal business name | Shorter, Richard A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | May 31st, 2024 - about 2 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 | 1770587172 | NPPES |
| Other | 262907 | CARELINK | |
| Other | 541839718107 | CARELINK | |
| Other | 1038179 | CARELINK | |
| MEDICAID | 010109892 | CARELINK | |
| Other | 541839718 | CARELINK | |
| MEDICAID | 3810001390 | CARELINK | |
| Other | 4324131 | CARELINK | |
| Other | 5181179 | CARELINK | |
| Other | P00173397 | CARELINK |
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