Richter, Kenneth J
Richter, Kenneth J is an individual health care provider with primary practice located at 34505 West 12 Mile Rd Suite 100 , Farmington Hills MI 48331. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine is his primary health care specialty. Richter, Kenneth J can be contacted via phone (734) 343-7500.Contact Information
Primary practice address
34505 West 12 Mile Rd Suite 100
Farmington Hills MI 48331
Phone: (734) 343-7500
Fax: (312) 957-9991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 5101007564 | Michigan |
| Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine | 2081P0004X | 5101007564 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine | 2081P0010X | 5101007564 | Michigan |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 5101007564 | Michigan |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 5101007564 | Michigan |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 5101007564 | Michigan |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 5101007564 | Michigan |
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine | 204C00000X | 5101007564 | Michigan |
Profile Details
| NPI number | 1033159132 |
|---|---|
| LBN Legal business name | Richter, Kenneth J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jul 3rd, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033159132 | NPPES |
| Michigan | MEDICAID | 2905041 TYPE 11 |
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