Richardson, Charles Timothy

Richardson, Charles Timothy is an sole proprietor health care provider with primary practice located at 506 4Th Ave W Bldg 4, Palmetto FL 34221. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Richardson, Charles Timothy can be contacted via phone (941) 729-1800.

Contact Information

Primary practice address
506 4Th Ave W Bldg 4 Palmetto FL 34221
Phone: (941) 729-1800
Fax: (941) 722-7844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT08788 Florida

Profile Details

NPI number 1841275161
LBN Legal business name Richardson, Charles Timothy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2005
Last updated Oct 3rd, 2011 - about 13 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 1841275161 NPPES
Other 650016193 RAILROAD MEDICARE
Other Y900V RAILROAD MEDICARE

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