Richardson, Eugene Arthur
Richardson, Eugene Arthur is an sole proprietor health care provider with primary practice located at 23 Shore Street , Petersburg VA 23803. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Richardson, Eugene Arthur can be contacted via phone (804) 861-5331.Contact Information
Primary practice address
23 Shore Street
Petersburg VA 23803
Phone: (804) 861-5331
Fax: (804) 861-5351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0401005258 | Virginia |
Profile Details
| NPI number | 1396842282 |
|---|---|
| LBN Legal business name | Richardson, Eugene Arthur |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1396842282 | NPPES |
| Virginia | MEDICAID | 9178831 | |
| Virginia | Other | 003363 | |
| Virginia | Other | 4066921 |
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