Richardson, Mandy

Richardson, Mandy is an sole proprietor health care provider with primary practice located at 1801 S Loucust , Stilwell OK 74960. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Richardson, Mandy can be contacted via phone (918) 696-7276.

Contact Information

Primary practice address
1801 S Loucust Stilwell OK 74960
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1932566601
LBN Legal business name Richardson, Mandy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2016
Last updated Jan 26th, 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 1932566601 NPPES
Oklahoma MEDICAID 100688200A

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