Provider Demographics
NPI:1598851594
Name:STRONG, RICHARD C (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:C
Last Name:STRONG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 530
Mailing Address - Street 2:SUITE 250
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-0530
Mailing Address - Country:US
Mailing Address - Phone:765-521-1217
Mailing Address - Fax:765-599-3286
Practice Address - Street 1:1000 N 16TH ST
Practice Address - Street 2:SUITE 250
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-4319
Practice Address - Country:US
Practice Address - Phone:765-521-1217
Practice Address - Fax:765-599-3286
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2011-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01029201208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100134890Medicaid
INC24860Medicare UPIN
IN220890EMedicare ID - Type Unspecified