Richards, Charlotte Jean

Richards, Charlotte Jean is an sole proprietor health care provider with primary practice located at 1896 E Babbit Lane , San Luis AZ 85349-1669. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Richards, Charlotte Jean can be contacted via phone (928) 722-6112.

Contact Information

Primary practice address
1896 E Babbit Lane San Luis AZ 85349-1669
Phone: (928) 722-6112
Fax: (928) 722-6113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 59904 Massachusetts

Profile Details

NPI number 1851358857
LBN Legal business name Richards, Charlotte Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated May 4th, 2016 - about 10 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 1851358857 NPPES
Arizona MEDICAID 626655
Arizona Other Z92837

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