Richardson, Geoffrey Dana
Richardson, Geoffrey Dana is an individual health care provider with primary practice located at 817 Commercial St , Leavenworth WA 98826-1316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Richardson, Geoffrey Dana can be contacted via phone (509) 548-3420.Contact Information
Primary practice address
817 Commercial St
Leavenworth WA 98826-1316
Phone: (509) 548-3420
Fax: (509) 548-2510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00036435 | Washington |
Profile Details
| NPI number | 1316941727 |
|---|---|
| LBN Legal business name | Richardson, Geoffrey Dana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Jul 22nd, 2010 - about 16 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 | 1316941727 | NPPES |
| Washington | MEDICAID | 8232449 |
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