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
Phone: (314) 738-2715
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548241284 | NPPES |
Missouri | MEDICAID | 208714519 |
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