Richardson, Bruce W

Richardson, Bruce W is an individual health care provider with primary practice located at 10505 River Rd , Havre MT 59501-8235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Richardson, Bruce W can be contacted via phone (406) 754-2266.

Contact Information

Primary practice address
10505 River Rd Havre MT 59501-8235
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4115 Montana

Profile Details

NPI number 1427020940
LBN Legal business name Richardson, Bruce W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Oct 30th, 2013 - 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 1427020940 NPPES
Montana Other 000010770 BLUE CROSS BLUE SHIELD
Montana Other 080104909 BLUE CROSS BLUE SHIELD
Montana MEDICAID 1427020940 BLUE CROSS BLUE SHIELD

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