Richardson, Edwin

Richardson, Edwin is an sole proprietor health care provider with primary practice located at 4600 Squirrels Nest Ln , Villa Rica GA 30180-4162. He recently has 7 registered licenses in different health care specialties including Other Service Providers / Driver, Suppliers / Customized Equipment, Suppliers / Dialysis Equipment & Supplies, Suppliers / Nursing Facility Supplies, Transportation Services / Private Vehicle, Transportation Services / Transportation Broker, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is his primary health care specialty. Richardson, Edwin can be contacted via phone (678) 576-2989.

Contact Information

Primary practice address
4600 Squirrels Nest Ln Villa Rica GA 30180-4162
Phone: (678) 576-2989
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X Georgia
Suppliers / Customized Equipment 332BC3200X Georgia
Suppliers / Dialysis Equipment & Supplies 332BD1200X Georgia
Suppliers / Nursing Facility Supplies 332BN1400X Georgia
Transportation Services / Private Vehicle 347C00000X Georgia
Transportation Services / Transportation Broker 347E00000X Georgia
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Georgia

Profile Details

NPI number 1568931707
LBN Legal business name Richardson, Edwin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2018
Last updated Nov 16th, 2018 - about 7 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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