Richardson, Loretta C
Richardson, Loretta C is an individual health care provider with primary practice located at 134 Grandview Ave Suite 210, Waterbury CT 06708-2507. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Richardson, Loretta C can be contacted via phone (860) 307-2937.Contact Information
Primary practice address
134 Grandview Ave Suite 210
Waterbury CT 06708-2507
Phone: (860) 307-2937
Fax: (203) 754-0788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | RN2340005 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 000166 | Connecticut |
Profile Details
| NPI number | 1063492452 |
|---|---|
| LBN Legal business name | Richardson, Loretta C |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Jun 1st, 2020 - about 5 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 | 1063492452 | NPPES |
| Connecticut | MEDICAID | 004209509 | |
| Connecticut | MEDICAID | 1063492452 |
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