Richardson, Ronald L

Richardson, Ronald L is an individual health care provider with primary practice located at 210 E Gray St Suite 701, Louisville KY 40202-3900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Richardson, Ronald L can be contacted via phone (502) 585-1557.

Contact Information

Primary practice address
210 E Gray St Suite 701 Louisville KY 40202-3900
Phone: (502) 585-1557
Fax: (502) 629-5240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 16830 Kentucky

Profile Details

NPI number 1417928748
LBN Legal business name Richardson, Ronald L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jan 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417928748 NPPES
Indiana MEDICAID 100002610A
Indiana MEDICAID 64168305
Indiana Other 1056683

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