Richardson, Misty

Richardson, Misty is an sole proprietor health care provider with primary practice located at 1733 Valley Rd Apt D , Champaign IL 61820-7166. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Richardson, Misty can be contacted via phone (217) 418-6600.

Contact Information

Primary practice address
1733 Valley Rd Apt D Champaign IL 61820-7166
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X Illinois

Profile Details

NPI number 1427839794
LBN Legal business name Richardson, Misty
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2023
Last updated Oct 11th, 2023 - about last year

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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