Richardson, Brenda J

Richardson, Brenda J is an individual health care provider with primary practice located at 7205 Wolf River Blvd Ste 201, Germantown TN 38138-1746. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Richardson, Brenda J can be contacted via phone (901) 507-3100.

Contact Information

Primary practice address
7205 Wolf River Blvd Ste 201 Germantown TN 38138-1746
Phone: (901) 507-3100
Fax: (901) 507-3167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD018089 Tennessee

Profile Details

NPI number 1568465482
LBN Legal business name Richardson, Brenda J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Aug 24th, 2011 - about 14 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 1568465482 NPPES
Tennessee MEDICAID 3841017

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