Gresham, Richard Lee

Gresham, Richard Lee is an sole proprietor health care provider with primary practice located at 433 N Pine St , Florence AL 35630-4654. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Gresham, Richard Lee can be contacted via phone (256) 740-8383.

Contact Information

Primary practice address
433 N Pine St Florence AL 35630-4654
Phone: (256) 740-8383
Fax: (256) 740-8386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 587-A Alabama

Profile Details

NPI number 1861509705
LBN Legal business name Gresham, Richard Lee
Credentials AU.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Oct 26th, 2016 - about 9 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 1861509705 NPPES
Alabama MEDICAID 009905080
Alabama MEDICAID 529901740
Alabama MEDICAID 009907280

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