Richards, John J

Richards, John J is an individual health care provider with primary practice located at 1008 Jenks Ave , Panama City FL 32401-2437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Richards, John J can be contacted via phone (850) 215-3000.

Contact Information

Primary practice address
1008 Jenks Ave Panama City FL 32401-2437
Fax: (850) 215-3150
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME60114 Florida

Profile Details

NPI number 1164403473
LBN Legal business name Richards, John J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Mar 11th, 2016 - about 9 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 1164403473 NPPES
Florida MEDICAID 0042653000
Florida MEDICAID 608500
Florida Other 12421
Florida Other 678471
Florida Other 051555890
Florida MEDICAID 114684
Florida Other 102I023970
Florida Other C70352

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