MEDICARE: RICHARD ROY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174527915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD ROY, INC.

Provider Business Mailing Address
First Line	:	204 W MAIN ST
Second Line	:
City	:	LITTLETON
State	:	NH
Zip	:	03561-3535
Country	:	US
Telephone Number	:	603-444-0500
Fax Number	:	603-444-0158

Provider Business Practice Location Address
First Line	:	204 W MAIN ST
Second Line	:
City	:	LITTLETON
State	:	NH
Zip	:	03561-3535
Country	:	US
Telephone Number	:	603-444-0500
Fax Number	:	603-444-0158

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROBERT SHEPPARD
Credential	:	CPO
Telephone Number	:	603-444-0500

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	06/16/2010

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Directions to “RICHARD ROY, INC. ” Practice Location

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