Richardson, Gary Dale
Richardson, Gary Dale is an sole proprietor health care provider with primary practice located at 400 Austin Ave Nw , Massillon OH 44646-3598. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Richardson, Gary Dale can be contacted via phone (216) 837-7200.Contact Information
Primary practice address
400 Austin Ave Nw
Massillon OH 44646-3598
Phone: (216) 837-7200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34003395 | Ohio |
Profile Details
| NPI number | 1447297023 |
|---|---|
| LBN Legal business name | Richardson, Gary Dale |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Jan 15th, 2020 - about 5 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 | 1447297023 | NPPES |
| Ohio | MEDICAID | 0498135 | |
| Ohio | Other | P00332912 | |
| Ohio | Other | 942460636442 |
Popular Providers
-
Cullen, William
875 8Th St Ne , Massillon OH 44646-8503 -
Fiers, Emily Sutton
875 8Th St Ne , Massillon OH 44646-8503 -
Fuller, Scott R
875 8Th St Ne , Massillon OH 44646-8503 -
Packo, David
875 8Th St Ne , Massillon OH 44646-8503 -
Leutz, Melissa
875 8Th St Ne , Massillon OH 44646-8503 -
Schmeiser, Erik
875 8Th St Ne , Massillon OH 44646-8503 -
Payne, Lawrence N
875 8Th St Ne , Massillon OH 44646-8503 -
Williams, William
2025 Indian Rocks Rd S , Largo FL 33774-1035