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
Fax: (301) 891-2892
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861485047 NPPES
District of Columbia MEDICAID 4432870

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