Richards, John E

Richards, John E is an sole proprietor health care provider with primary practice located at 1106 Douglas St Ste D, Longview WA 98632-2429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Richards, John E can be contacted via phone (360) 423-9229.

Contact Information

Primary practice address
1106 Douglas St Ste D Longview WA 98632-2429
Fax: (360) 423-9230
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 15784 Washington

Profile Details

NPI number 1225051097
LBN Legal business name Richards, John E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Feb 21st, 2017 - 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 1225051097 NPPES
Washington MEDICAID 1121243

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