Richert, Jonathan M

Richert, Jonathan M is an individual health care provider with primary practice located at 6121 N Hanley Rd , Berkeley MO 63134-2003. He recently has only one registered license in Other Service Providers / Health Educator, which is considered as his primary health care specialty. Richert, Jonathan M can be contacted via phone (314) 615-0600.

Contact Information

Primary practice address
6121 N Hanley Rd Berkeley MO 63134-2003
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X SE-205 Missouri

Profile Details

NPI number 1417534967
LBN Legal business name Richert, Jonathan M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2021
Last updated Mar 29th, 2021 - about 4 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 1417534967 NPPES
Missouri Other SE-205 ASTHMA EDUCATION

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