Richardson, Gary S.
Richardson, Gary S. is an individual health care provider with primary practice located at 1418 Iroquois Pl , Ann Arbor MI 48104-4638. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Richardson, Gary S. can be contacted via phone (734) 730-6753.Contact Information
Primary practice address
1418 Iroquois Pl
Ann Arbor MI 48104-4638
Phone: (734) 730-6753
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 073466 | Michigan |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 073466 | Michigan |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 073466 | Michigan |
Profile Details
| NPI number | 1700945045 |
|---|---|
| LBN Legal business name | Richardson, Gary S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Sep 24th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700945045 | NPPES |
| Other | GR073466 | COMMERCIAL-COMMERCIAL NUMBER | |
| Other | 700H262220 | COMMERCIAL-COMMERCIAL NUMBER | |
| Other | GR073466 | COMMERCIAL-COMMERCIAL NUMBER | |
| MEDICAID | 411790510 | COMMERCIAL-COMMERCIAL NUMBER |
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