Richardson, Charles David
Richardson, Charles David is an individual health care provider with primary practice located at 100 Hospital Dr W , Hattiesburg MS 39402-1334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Richardson, Charles David can be contacted via phone (601) 268-5910.Contact Information
Primary practice address
100 Hospital Dr W
Hattiesburg MS 39402-1334
Phone: (601) 268-5910
Fax: (601) 264-0659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 10012 | Mississippi |
Profile Details
| NPI number | 1568570117 |
|---|---|
| LBN Legal business name | Richardson, Charles David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1568570117 | NPPES |
| Mississippi | Other | 10012 | MEDICAL LICENSE |
| Mississippi | MEDICAID | 00016828 | MEDICAL LICENSE |
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