Richardson, Carol
Richardson, Carol is an individual health care provider with primary practice located at 284 Executive Park Dr Ste 100 , Concord NC 28025-1833. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Richardson, Carol can be contacted via phone (704) 939-1100.Contact Information
Primary practice address
284 Executive Park Dr Ste 100
Concord NC 28025-1833
Phone: (704) 939-1100
Fax: (704) 939-1173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 29646 | North Carolina |
Profile Details
| NPI number | 1154364578 |
|---|---|
| LBN Legal business name | Richardson, Carol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1154364578 | NPPES |
| North Carolina | MEDICAID | 8971543 |
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