Richardson, Larry

Richardson, Larry is an sole proprietor health care provider with primary practice located at 2866 Empire Ave , Loveland CO 80538-3001. He recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as his primary health care specialty. Richardson, Larry can be contacted via phone (970) 613-0726.

Contact Information

Primary practice address
2866 Empire Ave Loveland CO 80538-3001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1194278374
LBN Legal business name Richardson, Larry
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2016
Last updated Jul 25th, 2016 - 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 1194278374 NPPES
Colorado MEDICAID 12538361

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