Squires, Richard St.Clair
Squires, Richard St.Clair is an sole proprietor health care provider with primary practice located at 7610 Carroll Ave Suite 360, Takoma Park MD 20912-6384. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Squires, Richard St.Clair can be contacted via phone (301) 891-2891.Contact Information
Primary practice address
7610 Carroll Ave Suite 360
Takoma Park MD 20912-6384
Phone: (301) 891-2891
Fax: (301) 891-2892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | D56953 | Maryland |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD22067 | District of Columbia |
Profile Details
| NPI number | 1861485047 |
|---|---|
| LBN Legal business name | Squires, Richard St.Clair |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Dec 20th, 2013 - about 13 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 | 1861485047 | NPPES |
| District of Columbia | MEDICAID | 4432870 |
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