Richardson, Vanessa

Richardson, Vanessa is an individual health care provider with primary practice located at 1900 Waterdam Plaza Dr Building Three - 2Nd Floor, Mc Murray PA 15317-5442. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Richardson, Vanessa can be contacted via phone (724) 941-7490.

Contact Information

Primary practice address
1900 Waterdam Plaza Dr Building Three - 2Nd Floor Mc Murray PA 15317-5442
Phone: (724) 941-7490
Fax: (724) 941-5231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD038528L Pennsylvania

Profile Details

NPI number 1477554582
LBN Legal business name Richardson, Vanessa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Oct 29th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477554582 NPPES
Pennsylvania MEDICAID 0009171140014
Pennsylvania MEDICAID 2370965
Pennsylvania MEDICAID 1840306000

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