Richardson, Cynthia Jene

Richardson, Cynthia Jene is an sole proprietor health care provider with primary practice located at 36 Wampler Ave , Dayton OH 45405-5122. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Richardson, Cynthia Jene can be contacted via phone (937) 278-3473.

Contact Information

Primary practice address
36 Wampler Ave Dayton OH 45405-5122
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 2402251 Ohio

Profile Details

NPI number 1356463756
LBN Legal business name Richardson, Cynthia Jene
Credentials HOME CARE PROVIDER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Jul 9th, 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 1356463756 NPPES
Ohio MEDICAID 2402251

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