Richardson, Sandra Dee
Richardson, Sandra Dee is an individual health care provider with primary practice located at 950 N State St Ste A , Hemet CA 92543-1485. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Richardson, Sandra Dee can be contacted via phone (951) 929-9838.Contact Information
Primary practice address
950 N State St Ste A
Hemet CA 92543-1485
Phone: (951) 929-9838
Fax: (951) 929-9831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1417079443 |
|---|---|
| LBN Legal business name | Richardson, Sandra Dee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1417079443 | NPPES |
| California | MEDICAID | 3388A |
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