Richardson, Thomas M

Richardson, Thomas M is an individual health care provider with primary practice located at 12728 19Th Ave Se Suite 200, Everett WA 98208-6526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Richardson, Thomas M can be contacted via phone (425) 225-2700.

Contact Information

Primary practice address
12728 19Th Ave Se Suite 200 Everett WA 98208-6526
Phone: (425) 225-2700
Fax: (425) 225-2790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD00044733 Washington

Profile Details

NPI number 1609817295
LBN Legal business name Richardson, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 12th, 2016 - about 8 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 1609817295 NPPES
Washington Other MD00044733 STATE LICENSE NUMBER
Washington MEDICAID 8425258 STATE LICENSE NUMBER
Washington Other P00226719 STATE LICENSE NUMBER
Washington Other 199330 STATE LICENSE NUMBER

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