Richardson, Edward Wade
Richardson, Edward Wade is an sole proprietor health care provider with primary practice located at 2151 N Main St , Las Cruces NM 88001-1128. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Richardson, Edward Wade can be contacted via phone (505) 524-0400.Contact Information
Primary practice address
2151 N Main St
Las Cruces NM 88001-1128
Phone: (505) 524-0400
Fax: (505) 524-0595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 962 | New Mexico |
Profile Details
| NPI number | 1841399375 |
|---|---|
| LBN Legal business name | Richardson, Edward Wade |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jan 18th, 2013 - about 11 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 | 1841399375 | NPPES |
| New Mexico | MEDICAID | K7094 |
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