Richardson, Thomas David

Richardson, Thomas David is an individual health care provider with primary practice located at 202 10Th Street Se , Cedar Rapids IA 52403-2404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Richardson, Thomas David can be contacted via phone (319) 363-8171.

Contact Information

Primary practice address
202 10Th Street Se Cedar Rapids IA 52403-2404
Phone: (319) 363-8171
Fax: (319) 363-3172
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 32967 Iowa

Profile Details

NPI number 1699773069
LBN Legal business name Richardson, Thomas David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Sep 11th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699773069 NPPES
Iowa MEDICAID 0188789
Iowa Other 49599

Popular Providers