Richardson, Erik Scott

Richardson, Erik Scott is an sole proprietor health care provider with primary practice located at 1190 S 18Th Street Ext , Oxford MS 38655-5378. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Richardson, Erik Scott can be contacted via phone (662) 236-1927.

Contact Information

Primary practice address
1190 S 18Th Street Ext Oxford MS 38655-5378
Fax: (662) 236-3727
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17356 Mississippi

Profile Details

NPI number 1356359988
LBN Legal business name Richardson, Erik Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Jan 11th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356359988 NPPES
Mississippi Other 302G088746 PTAN GROUP
Mississippi Other 302I088746 PTAN GROUP

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