Richmond, Dpm, Tanisha Renee

Richmond, Dpm, Tanisha Renee is an sole proprietor health care provider with primary practice located at 1323 W 3Rd St , Dayton OH 45402-6714. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Richmond, Dpm, Tanisha Renee can be contacted via phone (937) 228-3668.

Contact Information

Primary practice address
1323 W 3Rd St Dayton OH 45402-6714
Phone: (937) 228-3668
Fax: (937) 228-3660
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36-003457 Ohio

Profile Details

NPI number 1689755084
LBN Legal business name Richmond, Dpm, Tanisha Renee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Apr 12th, 2011 - about 14 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 1689755084 NPPES
Ohio Other 000000558908 ANTHEM
Ohio MEDICAID 2796292 ANTHEM

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