Richardson, Jeffrey R

Richardson, Jeffrey R is an sole proprietor health care provider with primary practice located at 4482 Market St Ste 410, Ventura CA 93003-7780. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Richardson, Jeffrey R can be contacted via phone (805) 535-4422.

Contact Information

Primary practice address
4482 Market St Ste 410 Ventura CA 93003-7780
Fax: (805) 648-4426
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X G38557 California

Profile Details

NPI number 1568454171
LBN Legal business name Richardson, Jeffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2005
Last updated Nov 30th, 2017 - about 9 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 1568454171 NPPES
California Other G38557 LICENSE #
California Other 00G038557 LICENSE #

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