Richardson, Ty E
Richardson, Ty E is an individual health care provider with primary practice located at 4130 Dutchmans Ln Ste 300, Louisville KY 40207-4713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Richardson, Ty E can be contacted via phone (502) 897-1794.Contact Information
Primary practice address
4130 Dutchmans Ln Ste 300
Louisville KY 40207-4713
Phone: (502) 897-1794
Fax: (502) 897-0093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 31339 | Kentucky |
Profile Details
| NPI number | 1881685444 |
|---|---|
| LBN Legal business name | Richardson, Ty E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Apr 16th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881685444 | NPPES |
| Kentucky | MEDICAID | 64015753 | |
| Kentucky | Other | 9481389002 | |
| Kentucky | Other | 7807142 | |
| Kentucky | Other | 000000179986 |
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