Richardson, Bill Michael

Richardson, Bill Michael is an individual health care provider with primary practice located at 505 Roland Ave , Jackson TN 38301-4301. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Richardson, Bill Michael can be contacted via phone (731) 423-2272.

Contact Information

Primary practice address
505 Roland Ave Jackson TN 38301-4301
Phone: (731) 423-2272
Fax: (731) 423-2174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 1987 Tennessee

Profile Details

NPI number 1770578312
LBN Legal business name Richardson, Bill Michael
Credentials Doctor of Public Health (DPH)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 8th, 2007 - about 19 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 1770578312 NPPES
Tennessee Other 4419708 NABP

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