Richardson, Michelle L
Richardson, Michelle L is an individual health care provider with primary practice located at 21 Totman Street Ste 2 , Quincy MA 02169. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Richardson, Michelle L can be contacted via phone (617) 745-0050.Contact Information
Primary practice address
21 Totman Street Ste 2
Quincy MA 02169
Phone: (617) 745-0050
Fax: (617) 745-0052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 215884 | Massachusetts |
Profile Details
| NPI number | 1679536981 |
|---|---|
| LBN Legal business name | Richardson, Michelle L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2006 |
| Last updated | Jun 30th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679536981 | NPPES |
| Massachusetts | Other | J26819 | BCBS |
| Massachusetts | MEDICAID | 2061040 | BCBS |
| Massachusetts | Other | AA13696 | BCBS |
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