Richardson, David Michael

Richardson, David Michael is an sole proprietor health care provider with primary practice located at 1000 Cherry St Se , Olympia WA 98501-1433. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Richardson, David Michael can be contacted via phone (360) 357-2582.

Contact Information

Primary practice address
1000 Cherry St Se Olympia WA 98501-1433
Fax: (360) 357-2821
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Washington

Profile Details

NPI number 1255985537
LBN Legal business name Richardson, David Michael
Credentials CERTIFIED PEER COUNS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2019
Last updated Feb 13th, 2020 - about 5 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 1255985537 NPPES
Washington MEDICAID 2146438

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