Richardson, Elisha R.

Richardson, Elisha R. is an individual health care provider with primary practice located at 390 Harding Pl Suite 106, Nashville TN 37211-3998. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Richardson, Elisha R. can be contacted via phone (615) 832-8989.

Contact Information

Primary practice address
390 Harding Pl Suite 106 Nashville TN 37211-3998
Phone: (615) 832-8989
Fax: (615) 832-1101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DS0000001456 Tennessee

Profile Details

NPI number 1518957885
LBN Legal business name Richardson, Elisha R.
Credentials D.D.S.,M.S.,PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jun 22nd, 2024 - about 6 months 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 1518957885 NPPES
Tennessee MEDICAID 3210222

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