Richardson, Phillip E

Richardson, Phillip E is an individual health care provider with primary practice located at 7701 W Aspera Blvd , Glendale AZ 85308-7947. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Richardson, Phillip E can be contacted via phone (623) 248-2100.

Contact Information

Primary practice address
7701 W Aspera Blvd Glendale AZ 85308-7947
Phone: (623) 248-2100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 041394 Kentucky
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07001258A Indiana
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 041394 Arizona

Profile Details

NPI number 1629363072
LBN Legal business name Richardson, Phillip E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2011
Last updated Apr 29th, 2024 - about 7 months 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 1629363072 NPPES
Indiana MEDICAID 300004767
Indiana MEDICAID 041394

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