Richardson, Robert Alan

Richardson, Robert Alan is an individual health care provider with primary practice located at 45104 10Th St W Antelope Valley Community Clinic, Lancaster CA 93534-2310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Richardson, Robert Alan can be contacted via phone (661) 942-2391.

Contact Information

Primary practice address
45104 10Th St W Antelope Valley Community Clinic Lancaster CA 93534-2310
Phone: (661) 942-2391
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 12436 Arizona
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A34155 California

Profile Details

NPI number 1982642179
LBN Legal business name Richardson, Robert Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Apr 20th, 2017 - about 7 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 1982642179 NPPES
Arizona MEDICAID 205387

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