Richter, Connie L

Richter, Connie L is an individual health care provider with primary practice located at 4855 S Moorland Rd Ste 250 , New Berlin WI 53151-7494. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Richter, Connie L can be contacted via phone (262) 789-6020.

Contact Information

Primary practice address
4855 S Moorland Rd Ste 250 New Berlin WI 53151-7494
Phone: (262) 789-6020
Fax: (262) 789-6025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33423 Wisconsin

Profile Details

NPI number 1710973334
LBN Legal business name Richter, Connie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 21st, 2022 - 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 1710973334 NPPES
Wisconsin MEDICAID 31868900

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