Richardson, Warren Steven

Richardson, Warren Steven is an sole proprietor health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Richardson, Warren Steven can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Dr Coos Bay OR 97420-0000
Phone: (541) 267-5151
Fax: (541) 266-4501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD12801 Oregon

Profile Details

NPI number 1689659849
LBN Legal business name Richardson, Warren Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2005
Last updated Oct 23rd, 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 1689659849 NPPES
Oregon Other P00080924 RR MEDICARE NUMBER
Oregon Other 1407812365 RR MEDICARE NUMBER
Oregon MEDICAID 227108 RR MEDICARE NUMBER
Oregon Other R0000WFBTV RR MEDICARE NUMBER
Oregon Other CD8723 RR MEDICARE NUMBER

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