Richert, Charles A

Richert, Charles A is an individual health care provider with primary practice located at 413 Lilly Rd Ne Providence St Peter Hospital, Olympia WA 98506-5166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Richert, Charles A can be contacted via phone (360) 491-9480.

Contact Information

Primary practice address
413 Lilly Rd Ne Providence St Peter Hospital Olympia WA 98506-5166
Phone: (360) 491-9480
Fax: (360) 459-4361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD00035845 Washington

Profile Details

NPI number 1376502260
LBN Legal business name Richert, Charles A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 8th, 2007 - 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 1376502260 NPPES
Washington MEDICAID 8222333

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