Richardson, Christy L

Richardson, Christy L is an individual health care provider with primary practice located at 12277 De Paul Dr Ste 403 , Bridgeton MO 63044-2536. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Richardson, Christy L can be contacted via phone (314) 738-2715.

Contact Information

Primary practice address
12277 De Paul Dr Ste 403 Bridgeton MO 63044-2536
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD111763 Missouri

Profile Details

NPI number 1548241284
LBN Legal business name Richardson, Christy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Oct 26th, 2020 - about 4 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 1548241284 NPPES
Missouri MEDICAID 208714519

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