Richards, John Douglas

Richards, John Douglas is an sole proprietor health care provider with primary practice located at 714 W Lodi Ave , Lodi CA 95240-3429. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Richards, John Douglas can be contacted via phone (209) 333-0338.

Contact Information

Primary practice address
714 W Lodi Ave Lodi CA 95240-3429
Fax: (209) 333-2139
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA3625 California

Profile Details

NPI number 1710088307
LBN Legal business name Richards, John Douglas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Nov 5th, 2013 - about 12 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 1710088307 NPPES
California Other HA0036250 MEDI-CAL PROVIDER #

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