Richmond, Jeffrey G
Richmond, Jeffrey G is an individual health care provider with primary practice located at 2940 E Banner Gateway Dr Suite 450, Gilbert AZ 85234. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Richmond, Jeffrey G can be contacted via phone (480) 256-3676.Contact Information
Primary practice address
2940 E Banner Gateway Dr Suite 450
Gilbert AZ 85234
Phone: (480) 256-3676
Fax: (480) 256-3608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 16775 | Arizona |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 16775 | Arizona |
Profile Details
| NPI number | 1184699688 |
|---|---|
| LBN Legal business name | Richmond, Jeffrey G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Jan 14th, 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 | 1184699688 | NPPES |
| Arizona | Other | 270679 | AHCCCS |
| Arizona | Other | 766073 | AHCCCS |
| Arizona | Other | 4Z9359 | AHCCCS |
| Arizona | Other | 4035361 | AHCCCS |
| Arizona | Other | 2426074 | AHCCCS |
| Arizona | Other | P01075626 | AHCCCS |
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