Strub, Richard
Strub, Richard is an individual health care provider with primary practice located at 1161 E Main St , Mesa AZ 85203-8823. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Strub, Richard can be contacted via phone (480) 834-1555.Contact Information
Primary practice address
1161 E Main St
Mesa AZ 85203-8823
Phone: (480) 834-1555
Fax: (480) 962-6710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5530 | Arizona |
Profile Details
| NPI number | 1376680561 |
|---|---|
| LBN Legal business name | Strub, Richard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1376680561 | NPPES |
| Arizona | MEDICAID | D5530 |
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