Richardson, Brent

Richardson, Brent is an individual health care provider with primary practice located at 240 S Main St , Wolfeboro NH 03894-4411. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Richardson, Brent can be contacted via phone (603) 569-7500.

Contact Information

Primary practice address
240 S Main St Wolfeboro NH 03894-4411
Phone: (603) 569-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X TRN21762 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 20505 New Hampshire

Profile Details

NPI number 1407241805
LBN Legal business name Richardson, Brent
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2015
Last updated Sep 15th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407241805 NPPES
New Hampshire MEDICAID 3123567

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