Richardson, Bertha Parthenia

Richardson, Bertha Parthenia is an sole proprietor health care provider with primary practice located at 320 Lillington Ave Suite 202, Charlotte NC 28204-3188. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Richardson, Bertha Parthenia can be contacted via phone (704) 372-0638.

Contact Information

Primary practice address
320 Lillington Ave Suite 202 Charlotte NC 28204-3188
Fax: (704) 372-0632
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 21856 North Carolina

Profile Details

NPI number 1184674707
LBN Legal business name Richardson, Bertha Parthenia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated May 3rd, 2016 - about 8 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 1184674707 NPPES
Other 21872 PARTNERS HEALTHCARE
Other 71541 PARTNERS HEALTHCARE
MEDICAID 8971541 PARTNERS HEALTHCARE

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