Richardson, John B

Richardson, John B is an individual health care provider with primary practice located at 6701 N Charles St Suite #4430, Towson MD 21204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Richardson, John B can be contacted via phone (443) 849-6212.

Contact Information

Primary practice address
6701 N Charles St Suite #4430 Towson MD 21204
Fax: (410) 377-4322
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D0018442 Maryland

Profile Details

NPI number 1396827051
LBN Legal business name Richardson, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Apr 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396827051 NPPES
Maryland Other 34873005 CAREFIRST BCBS
Maryland Other R5250004 CAREFIRST BCBS
Maryland Other R5250004 CAREFIRST BCBS
Maryland MEDICAID 308571600 CAREFIRST BCBS

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