Richardson, Amanda

Richardson, Amanda is an individual health care provider with primary practice located at N87 W16459 B West Appleton , Menomonee Falls WI 53051. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Richardson, Amanda can be contacted via phone (262) 502-1799.

Contact Information

Primary practice address
N87 W16459 B West Appleton Menomonee Falls WI 53051
Phone: (262) 502-1799
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 1174-060 Wisconsin

Profile Details

NPI number 1760662027
LBN Legal business name Richardson, Amanda
Credentials H.I.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2007
Last updated Nov 5th, 2007 - about 18 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 1760662027 NPPES
Wisconsin MEDICAID 42834200

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