Wathne, Richard A
Wathne, Richard A is an sole proprietor health care provider with primary practice located at 2240 E Center St , Pocatello ID 83201-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Wathne, Richard A can be contacted via phone (208) 233-2100.Contact Information
Primary practice address
2240 E Center St
Pocatello ID 83201-2600
Phone: (208) 233-2100
Fax: (208) 233-3146
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | M6663 | Idaho |
Profile Details
| NPI number | 1033296330 |
|---|---|
| LBN Legal business name | Wathne, Richard A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Sep 7th, 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.
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