Richardson, Conni
Richardson, Conni is an individual health care provider with primary practice located at 1352 Terrace St , Muskegon MI 49442-3545. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Richardson, Conni can be contacted via phone (231) 726-3582.Contact Information
Primary practice address
1352 Terrace St
Muskegon MI 49442-3545
Phone: (231) 726-3582
Fax: (231) 722-6933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301008671 | Michigan |
Profile Details
| NPI number | 1447292388 |
|---|---|
| LBN Legal business name | Richardson, Conni |
| Credentials | LLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1447292388 | NPPES |
| Michigan | MEDICAID | 1883469 | |
| Michigan | Other | P11126367 |
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