Richardson, Glenda Johnson
Richardson, Glenda Johnson is an sole proprietor health care provider with primary practice located at 2100 3Rd Street Suite 6, Kenner LA 70062-7600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Richardson, Glenda Johnson can be contacted via phone (566) 125-1044.Contact Information
Primary practice address
2100 3Rd Street Suite 6
Kenner LA 70062-7600
Phone: (566) 125-1044
Fax: (504) 466-2014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 014496 | Louisiana |
Profile Details
| NPI number | 1346398419 |
|---|---|
| LBN Legal business name | Richardson, Glenda Johnson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346398419 | NPPES |
| Louisiana | MEDICAID | 1301922 |
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