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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1265410310 NPPES
Colorado MEDICAID 01264233

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