Richards, Tasha L

Richards, Tasha L is an individual health care provider with primary practice located at 1340 Washington St , Watertown NY 13601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Richards, Tasha L can be contacted via phone (315) 782-9003.

Contact Information

Primary practice address
1340 Washington St Watertown NY 13601
Phone: (315) 782-9003
Fax: (315) 782-9010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 007134 New York

Profile Details

NPI number 1245285840
LBN Legal business name Richards, Tasha L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated May 4th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245285840 NPPES
New York MEDICAID 02007252

Popular Providers