Richardson, Kathie Denise
Richardson, Kathie Denise is an sole proprietor health care provider with primary practice located at S75W31046 Florence Ct , Mukwonago WI 53149-9215. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Richardson, Kathie Denise can be contacted via phone (262) 363-3043.Contact Information
Primary practice address
S75W31046 Florence Ct
Mukwonago WI 53149-9215
Phone: (262) 363-3043
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Home Health | 163WH0200X | 108060 | Wisconsin |
Profile Details
NPI number | 1417003716 |
---|---|
LBN Legal business name | Richardson, Kathie Denise |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 27th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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 | 1417003716 | NPPES |
Wisconsin | MEDICAID | 39855100 |
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