RICHARD L WELLS, Professional LICKING, MO

Contact Information

RICHARD L WELLS

120 BROOKS ST APT 17
LICKING, MO 65542-8031

Phone: 573-889-9534
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Professional	101YP2500X
Interpreter	171R00000X
Pastoral	101YP1600X

Indicates primary specialty

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NPI Profile & details for RICHARD L WELLS · (Male)

NPI #	`1841493434`
Status	Active
Credentials
Entity	Individual
Enumeration date	06/09/2007
Last updated	01/05/2011 - About 15 years ago
Sole proprietor ¹	Yes
Identifiers	MO License # 2002020616 MO Medicaid 498829100
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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