Richardson, Thomas L

Richardson, Thomas L is an individual health care provider with primary practice located at 301 E 2Nd St , Richland Center WI 53581-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Richardson, Thomas L can be contacted via phone (608) 647-6161.

Contact Information

Primary practice address
301 E 2Nd St Richland Center WI 53581-1900
Phone: (608) 647-6161
Fax: (608) 647-3178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23207 Wisconsin

Profile Details

NPI number 1669473286
LBN Legal business name Richardson, Thomas L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Jan 15th, 2008 - about 16 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 1669473286 NPPES
Wisconsin Other 0852480001 DMERC
Wisconsin MEDICAID 30356100 DMERC
Wisconsin Other 528514 DMERC

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