Richardson, Michael Dale

Richardson, Michael Dale is an individual health care provider with primary practice located at Hc-83 Bldg 3005 Naval Hospital Branch Clinic Mcmwtc, Bridgeport CA 93517-0001. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Richardson, Michael Dale can be contacted via phone (760) 932-1616.

Contact Information

Primary practice address
Hc-83 Bldg 3005 Naval Hospital Branch Clinic Mcmwtc Bridgeport CA 93517-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1477594646
LBN Legal business name Richardson, Michael Dale
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
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.

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