Richardson, William Randolph

Richardson, William Randolph is an individual health care provider with primary practice located at 11 Shenango Rd Ste 1, New Castle PA 16105-1177. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Richardson, William Randolph can be contacted via phone (724) 657-1881.

Contact Information

Primary practice address
11 Shenango Rd Ste 1 New Castle PA 16105-1177
Phone: (724) 657-1881
Fax: (724) 657-9178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD045410E Pennsylvania
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35.066752 Ohio

Profile Details

NPI number 1487644837
LBN Legal business name Richardson, William Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jun 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487644837 NPPES
Ohio Other 1396705349 LIBERTY NPI
Ohio MEDICAID 0972354 LIBERTY NPI

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