Richardson, Peter Bruce

Richardson, Peter Bruce is an individual health care provider with primary practice located at 1500 Commerce Rd , Staunton VA 24401. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Richardson, Peter Bruce can be contacted via phone (540) 213-0060.

Contact Information

Primary practice address
1500 Commerce Rd Staunton VA 24401
Fax: (540) 213-9441
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101032138 Virginia

Profile Details

NPI number 1194720102
LBN Legal business name Richardson, Peter Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated May 13th, 2010 - about 14 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 1194720102 NPPES
Other 180020459 RAILROAD MEDICARE
Other 059755 RAILROAD MEDICARE
MEDICAID 006301754 RAILROAD MEDICARE

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