Richardville, Keesha E
Richardville, Keesha E is an sole proprietor health care provider with primary practice located at 225 Crosslake Dr , Evansville IN 47715-8198. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Richardville, Keesha E can be contacted via phone (812) 477-1558.Contact Information
Primary practice address
225 Crosslake Dr
Evansville IN 47715-8198
Phone: (812) 477-1558
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X |
Profile Details
| NPI number | 1285219857 |
|---|---|
| LBN Legal business name | Richardville, Keesha E |
| Credentials | Certified Surgical Technologist (CST) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2021 |
| Last updated | Mar 15th, 2021 - about 5 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 | 1285219857 | NPPES |
| Indiana | Other | 110001 | CST CERTIFICATION |
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