Richardson, Brenda
Richardson, Brenda is an individual health care provider with primary practice located at 819 S Salina St , Syracuse NY 13202-3536. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Richardson, Brenda can be contacted via phone (315) 476-7921.Contact Information
Primary practice address
819 S Salina St
Syracuse NY 13202-3536
Phone: (315) 476-7921
Fax: (315) 474-1448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 048507 | New York |
Profile Details
| NPI number | 1093772634 |
|---|---|
| LBN Legal business name | Richardson, Brenda |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | May 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093772634 | NPPES |
| New York | MEDICAID | 02218431 |
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