Richardson, Michael Ray

Richardson, Michael Ray is an sole proprietor health care provider with primary practice located at 2353 W Gore Blvd , Lawton OK 73505-6301. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Richardson, Michael Ray can be contacted via phone (580) 595-1919.

Contact Information

Primary practice address
2353 W Gore Blvd Lawton OK 73505-6301
Phone: (580) 595-1919
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oklahoma
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1023694619
LBN Legal business name Richardson, Michael Ray
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2021
Last updated Mar 30th, 2021 - about 4 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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