Stiphout, Richard M

Stiphout, Richard M is an individual health care provider with primary practice located at 3670 Parker Blvd Suite 200, Pueblo CO 81008-2207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stiphout, Richard M can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
3670 Parker Blvd Suite 200 Pueblo CO 81008-2207
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35749 Colorado

Profile Details

NPI number 1104953157
LBN Legal business name Stiphout, Richard M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Oct 19th, 2010 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104953157 NPPES
Other 009190 KAISER-COMMERCIAL NUMBER
MEDICAID 01357490 KAISER-COMMERCIAL NUMBER

Popular Providers