Richardson, John William

Richardson, John William is an individual health care provider with primary practice located at 1000 Langworthy St , Dubuque IA 52001-7313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Richardson, John William can be contacted via phone (563) 584-3425.

Contact Information

Primary practice address
1000 Langworthy St Dubuque IA 52001-7313
Phone: (563) 584-3425
Fax: (563) 584-3497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 29589 Iowa
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35248 Wisconsin

Profile Details

NPI number 1235183872
LBN Legal business name Richardson, John William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 20th, 2009 - about 16 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 1235183872 NPPES
Iowa MEDICAID 0102590

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