Richardson, Heather

Richardson, Heather is an individual health care provider with primary practice located at 436 N Bedford Dr Suite 105, Beverly Hills CA 90210-4310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Richardson, Heather can be contacted via phone (310) 278-8590.

Contact Information

Primary practice address
436 N Bedford Dr Suite 105 Beverly Hills CA 90210-4310
Phone: (310) 278-8590
Fax: (424) 202-3759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 053395 Georgia

Profile Details

NPI number 1144229253
LBN Legal business name Richardson, Heather
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Mar 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144229253 NPPES
Georgia MEDICAID 727464006A

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