Standage, Richard A

Standage, Richard A is an individual health care provider with primary practice located at 2175 N Alma School Rd Ste B-103, Chandler AZ 85224-2878. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as his primary health care specialty. Standage, Richard A can be contacted via phone (480) 963-9339.

Contact Information

Primary practice address
2175 N Alma School Rd Ste B-103 Chandler AZ 85224-2878
Phone: (480) 963-9339
Fax: (480) 963-4098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X 5254 Arizona

Profile Details

NPI number 1295724714
LBN Legal business name Standage, Richard A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Feb 26th, 2009 - about 17 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 1295724714 NPPES
Arizona Other Z113264 MEDICARE GROUP
Arizona MEDICAID 511958 MEDICARE GROUP

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