Richardson, Marc A

Richardson, Marc A is an individual health care provider with primary practice located at 5502 Dixie Hwy , Fairfield OH 45014-4297. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Richardson, Marc A can be contacted via phone (513) 874-9460.

Contact Information

Primary practice address
5502 Dixie Hwy Fairfield OH 45014-4297
Fax: (513) 874-5731
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35071381 Ohio

Profile Details

NPI number 1760453948
LBN Legal business name Richardson, Marc A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Feb 22nd, 2016 - about 8 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 1760453948 NPPES
Ohio MEDICAID 2093569

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