Richardson, Jeff S

Richardson, Jeff S is an individual health care provider with primary practice located at 1401 Harrodsburg Rd Suite C-115, Lexington KY 40504-1764. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Richardson, Jeff S can be contacted via phone (859) 278-8855.

Contact Information

Primary practice address
1401 Harrodsburg Rd Suite C-115 Lexington KY 40504-1764
Phone: (859) 278-8855
Fax: (859) 278-8856
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 00362 Kentucky
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO3837 Florida

Profile Details

NPI number 1710204862
LBN Legal business name Richardson, Jeff S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2010
Last updated Apr 26th, 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 1710204862 NPPES
Kentucky Other K002223 MEDICARE PTAN

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