Richardson, Willie D
Richardson, Willie D is an sole proprietor health care provider with primary practice located at 8316 Macon Ter Ste 102 , Cordova TN 38018-8505. He recently has only one registered license in Agencies / Home Health, which is considered as his primary health care specialty. Richardson, Willie D can be contacted via phone (901) 624-0371.Contact Information
Primary practice address
8316 Macon Ter Ste 102
Cordova TN 38018-8505
Phone: (901) 624-0371
Fax: (901) 624-0375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | L000000022609 | Tennessee |
Profile Details
| NPI number | 1609347137 |
|---|---|
| LBN Legal business name | Richardson, Willie D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 10th, 2018 |
| Last updated | Dec 10th, 2018 - about 8 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 | 1609347137 | NPPES |
| Tennessee | MEDICAID | Q018034 |
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