Hairston, Richard Joseph

Hairston, Richard Joseph is an individual health care provider with primary practice located at 148 13Th St Sw , Largo FL 33770-3127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Hairston, Richard Joseph can be contacted via phone (727) 581-8706.

Contact Information

Primary practice address
148 13Th St Sw Largo FL 33770-3127
Phone: (727) 581-8706
Fax: (727) 586-3743
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X ME76446 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME Florida

Profile Details

NPI number 1871591065
LBN Legal business name Hairston, Richard Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Apr 25th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871591065 NPPES
Florida MEDICAID 260863400

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