Richardson, Jesse Wayne

Richardson, Jesse Wayne is an individual health care provider with primary practice located at 221 3Rd St W Bldg 1040, Randolph A F B TX 78150-4800. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Richardson, Jesse Wayne can be contacted via phone (210) 652-3137.

Contact Information

Primary practice address
221 3Rd St W Bldg 1040 Randolph A F B TX 78150-4800
Phone: (210) 652-3137
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1091031 Texas

Profile Details

NPI number 1801889860
LBN Legal business name Richardson, Jesse Wayne
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Jan 13th, 2014 - about 10 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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