Richard Beam Hollar III, MS, LAT, ATC
Specialist/Technologist, Athletic Trainer in Richmond, IN. Individual provider (NPI-1).
NPI number1508239690
StatusActive
Last updated in NPPESJun 24, 2024
Details
- NPI
- 1508239690
- Entity type
- Individual (NPI-1)
- Name
- Mr. Richard Beam Hollar III
- Credential
- MS, LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 11, 2015
- Certification date
- Jun 24, 2024
- Last updated
- Jun 24, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | AL | Yes |
Practice location
1400 Highland RdRichmond, IN 47374-8809
Phone 765-973-8057
Mailing address
4931 Smyrna RdRichmond, IN 47374-9660
Phone 205-565-9998 · Fax 765-939-4200
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