Tovar, Richard T
Tovar, Richard T is an individual health care provider with primary practice located at 707 S University Ave , Beaver Dam WI 53916-3027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tovar, Richard T can be contacted via phone (414) 290-6720.Contact Information
Primary practice address
707 S University Ave
Beaver Dam WI 53916-3027
Phone: (414) 290-6720
Fax: (414) 290-6755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-111341 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 27102-020 | Wisconsin |
Profile Details
| NPI number | 1437187341 |
|---|---|
| LBN Legal business name | Tovar, Richard T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Dec 21st, 2021 - about 5 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 | 1437187341 | NPPES |
| Illinois | Other | P00184924 | MEDICARE RAILROAD |
| Illinois | MEDICAID | 1437187341 | MEDICARE RAILROAD |
| Illinois | Other | P00024624 | MEDICARE RAILROAD |
| Illinois | MEDICAID | 30712700 | MEDICARE RAILROAD |
| Illinois | Other | 930118427 | MEDICARE RAILROAD |
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