Richerson, Julia E

Richerson, Julia E is an individual health care provider with primary practice located at 2215 Portland Ave , Louisville KY 40212-1033. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Richerson, Julia E can be contacted via phone (502) 774-8631.

Contact Information

Primary practice address
2215 Portland Ave Louisville KY 40212-1033
Phone: (502) 774-8631
Fax: (502) 776-8912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33069 Kentucky

Profile Details

NPI number 1003810920
LBN Legal business name Richerson, Julia E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Apr 21st, 2021 - about 3 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 1003810920 NPPES
Kentucky MEDICAID 64330699
Kentucky Other 000000307166

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