Richardson, Betty
Richardson, Betty is an individual health care provider with primary practice located at 421 Marion Ave , Mccomb MS 39648-2709. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Richardson, Betty can be contacted via phone (601) 684-6891.Contact Information
Primary practice address
421 Marion Ave
Mccomb MS 39648-2709
Phone: (601) 684-6891
Fax: (601) 249-3834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R135080 | Mississippi |
Profile Details
| NPI number | 1023067766 |
|---|---|
| LBN Legal business name | Richardson, Betty |
| Credentials | CNFP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Aug 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023067766 | NPPES |
| Mississippi | MEDICAID | 00119592 |
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