Richardson, Phillip David

Richardson, Phillip David is an sole proprietor health care provider with primary practice located at 717 Encino Place Ne Suite 7 , Albuquerque NM 87102. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Richardson, Phillip David can be contacted via phone (505) 843-9636.

Contact Information

Primary practice address
717 Encino Place Ne Suite 7 Albuquerque NM 87102
Fax: (505) 843-6277
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 800 New Mexico

Profile Details

NPI number 1407860810
LBN Legal business name Richardson, Phillip David
Credentials RDH, DOM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1407860810 NPPES
New Mexico Other OORJ13 BLUE CROSS BLUE SHIELD

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