Richardson, Blair

Richardson, Blair is an individual health care provider with primary practice located at 639 North Mulberry Street , Elizabethtown KY 42701-1931. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Richardson, Blair can be contacted via phone (270) 737-4600.

Contact Information

Primary practice address
639 North Mulberry Street Elizabethtown KY 42701-1931
Phone: (270) 737-4600
Fax: (270) 737-1722
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 085894 Kentucky

Profile Details

NPI number 1871898866
LBN Legal business name Richardson, Blair
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2011
Last updated Mar 12th, 2014 - about 11 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 1871898866 NPPES
Kentucky MEDICAID 7100154900

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