Richardson, Donald
Richardson, Donald is an individual health care provider with primary practice located at 12345 W Bend Dr Suite 300, Saint Louis MO 63128-2182. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Richardson, Donald can be contacted via phone (314) 849-6000.Contact Information
Primary practice address
12345 W Bend Dr Suite 300
Saint Louis MO 63128-2182
Phone: (314) 849-6000
Fax: (314) 849-1417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | R6979 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R6979 | Missouri |
Profile Details
| NPI number | 1700867215 |
|---|---|
| LBN Legal business name | Richardson, Donald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Sep 28th, 2012 - about 14 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 | 1700867215 | NPPES |
| Missouri | Other | 4214916 | AETNA |
| Missouri | Other | 000000010031 | AETNA |
| Missouri | Other | 9184 | AETNA |
| Missouri | MEDICAID | 201659414 | AETNA |
| Missouri | Other | A10039 | AETNA |
| Missouri | Other | 127486 | AETNA |
| Missouri | Other | 0400272 | AETNA |
| Missouri | Other | 114793 | AETNA |
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