Provider Demographics
NPI:1174806129
Name:RICHMAN, STEVEN IRA (DO)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:IRA
Last Name:RICHMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 TREE FARM LN
Mailing Address - Street 2:
Mailing Address - City:HINTON
Mailing Address - State:WV
Mailing Address - Zip Code:25951-5697
Mailing Address - Country:US
Mailing Address - Phone:304-466-3943
Mailing Address - Fax:304-466-4412
Practice Address - Street 1:151 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:HINTON
Practice Address - State:WV
Practice Address - Zip Code:25951-2540
Practice Address - Country:US
Practice Address - Phone:304-466-3943
Practice Address - Fax:304-466-4412
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV0741208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice