Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 34-00-2391-S | OH |
NPI | 1487646543 |
---|---|
Provider Name | Dr. Richard Stanley Silver |
First Address | Newbury, OH 44065-0382 |
Second Address | Newbury, OH 44065-9690 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 17/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0282402 | (05) | OH |
10830886 | CAQH (01) | OH |
A75478 | (02) | OH |