Richardson, Gregory B
Richardson, Gregory B is an individual health care provider with primary practice located at 1100 10Th St , Alamogordo NM 88310-6414. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Richardson, Gregory B can be contacted via phone (505) 437-2244.Contact Information
Primary practice address
1100 10Th St
Alamogordo NM 88310-6414
Phone: (505) 437-2244
Fax: (505) 437-8000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 76251 | New Mexico |
Profile Details
| NPI number | 1811994221 |
|---|---|
| LBN Legal business name | Richardson, Gregory B |
| Credentials | MD, F.A.C.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Nov 30th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811994221 | NPPES |
| New Mexico | MEDICAID | 00017137 |
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