Richards, Jason B
Richards, Jason B is an sole proprietor health care provider with primary practice located at 410 State St , North Haven CT 06473-3147. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Richards, Jason B can be contacted via phone (203) 675-1644.Contact Information
Primary practice address
410 State St
North Haven CT 06473-3147
Phone: (203) 675-1644
Fax: (203) 281-4466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 001570 | Connecticut |
Profile Details
| NPI number | 1104897651 |
|---|---|
| LBN Legal business name | Richards, Jason B |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Mar 5th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104897651 | NPPES |
| Connecticut | Other | 11317593 | CAQH |
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