Richardson, Roberta M
Richardson, Roberta M is an sole proprietor health care provider with primary practice located at 44 Union Blvd Ste 104 , Lakewood CO 80228-1808. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Richardson, Roberta M can be contacted via phone (303) 284-2262.Contact Information
Primary practice address
44 Union Blvd Ste 104
Lakewood CO 80228-1808
Phone: (303) 284-2262
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 26423 | Colorado |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 26423 | Colorado |
Profile Details
| NPI number | 1265410310 |
|---|---|
| LBN Legal business name | Richardson, Roberta M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 7th, 2006 |
| Last updated | Aug 19th, 2021 - about 3 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 | 1265410310 | NPPES |
| Colorado | MEDICAID | 01264233 |
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