RICHIE WELLS JR.


Address: Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045
Phone: 6077534901

RICHIE WELLS JR. (NPI# 1336783521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336783521
Entity Type Individual
Full Name RICHIE WELLS JR.
Practice Address Stratton Drive
Park Center Athletic Training Room
Cortland
NY 13045
Mailing Address 2150 Crotona Pkwy Apt 5b
Bronx
NY 10460-1594
Practice Telephone 6077534901
Mailing Telephone 3474433212
Enumeration Date 2019-10-31
Last Update Date 2019-10-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address STRATTON DRIVE
PARK CENTER ATHLETIC TRAINING ROOM
City CORTLAND
State NY
Zip Code 13045

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518509504 Paige Morrow Occupational Therapist 1710 Ny-13, Cortland, NY 13045 2019-10-11
1154972453 Ayla Fialko Acupuncturist 17-29 Main Street, Suite Ll13, Cortland, NY 13045 2019-09-27
1043714330 Denise Lynn Bushnell-lhommedieu Licensed Practical Nurse 11 Owego Street, Cortland, NY 13045 2018-03-21
1659817864 Sarah Schmied Registered Nurse Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 2017-01-11
1457895278 Mohammad Djafari Md Physician Assistant 15-17 Kennedy Parkway, Cortland, NY 13045 2016-12-13
1295125060 Laura K May Counselor 17 Main St., Cortland, NY 13045 2015-01-30
1295081149 Sirgany Eyecare LLC Eyewear Supplier (Equipment, not the service) 992 State Rte 13, Cortland, NY 13045 2012-07-30
1205106879 Mary Marcella Ray Licensed Practical Nurse 84 Greenbush St., Cortland, NY 13045 2012-01-12
1326318494 Kimberly Rowland Registered Nurse 2824 Page Green Rd, Cortland, NY 13045 2012-01-06
1679852016 Cortland Audiology, PC Hearing Aid Equipment 1033 State Route 13, Cortland, NY 13045 2011-08-16
Find all providers in zip 13045

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841897220 Elise Dolbier Student in an Organized Health Care Education/Training Program 165 Main St. Ste A, Cortland, NY 13045-3049 2020-10-08
1265060859 Lyudmila Levitskaya Student in an Organized Health Care Education/Training Program 3663 Fairview Dr, Cortland, NY 13045-9331 2020-03-30
1619361821 Kelly Noble Student in an Organized Health Care Education/Training Program 4313 Cosmos Hill Rd, Cortland, NY 13045-9132 2015-03-25
1487251864 Kevin Broderick Student in an Organized Health Care Education/Training Program 165 Main St. Ste A, Cortland, NY 13045-3049 2020-10-08
1578160958 Colin Albro Student in an Organized Health Care Education/Training Program 165 Main St. Ste A, Cortland, NY 13045-3049 2020-10-08
1609482751 Alyssa Jacklyn Watson Student in an Organized Health Care Education/Training Program 165 Main St Ste A, Cortland, NY 13045-3191 2020-09-23
1982210589 Eva Pauline Grove Student in an Organized Health Care Education/Training Program 165 Main St, Ste A, Cortland, NY 13045-1304 2020-09-18
1619596822 Alexandra Starmer Student in an Organized Health Care Education/Training Program 165 Main St, Ste A, Cortland, NY 13045-3049 2020-04-09
1285283945 Melissa Compton Student in an Organized Health Care Education/Training Program 165 Main St, Ste A, Cortland, NY 13045-3049 2019-09-05
1245889922 Lisa Stoothoff Student in an Organized Health Care Education/Training Program 165 Main St, Ste A, Cortland, NY 13045-3049 2019-09-05
Find all providers in CORTLAND

Competitor

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City CORTLAND
Zip Code 13045

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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