Richardson, Connie Walker

Richardson, Connie Walker is an individual health care provider with primary practice located at 208 Pierson Ave , Centreville AL 35042-2918. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Richardson, Connie Walker can be contacted via phone (205) 926-3284.

Contact Information

Primary practice address
208 Pierson Ave Centreville AL 35042-2918
Phone: (205) 926-3284
Fax: (205) 926-4275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME96736 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21418 Alabama

Profile Details

NPI number 1093815722
LBN Legal business name Richardson, Connie Walker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated Mar 31st, 2017 - about 8 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 1093815722 NPPES
Florida MEDICAID 276849600

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