Richardson, Donna Therese
Richardson, Donna Therese is an individual health care provider with primary practice located at 404 Keene St , Columbia MO 65201-6626. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Richardson, Donna Therese can be contacted via phone (573) 875-9000.Contact Information
Primary practice address
404 Keene St
Columbia MO 65201-6626
Phone: (573) 875-9000
Fax: (573) 875-9947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 105800 | Missouri |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 105800 | Missouri |
Profile Details
| NPI number | 1265410195 |
|---|---|
| LBN Legal business name | Richardson, Donna Therese |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Apr 25th, 2011 - about 13 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 | 1265410195 | NPPES |
| Missouri | Other | 002014693 | MEDICARE PIN AREA 01 |
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