Richter, Jay A

Richter, Jay A is an individual health care provider with primary practice located at 311 West 14Th Street , Pueblo CO 81003-2710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Richter, Jay A can be contacted via phone (719) 595-7585.

Contact Information

Primary practice address
311 West 14Th Street Pueblo CO 81003-2710
Phone: (719) 595-7585
Fax: (719) 595-7589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 26947 Colorado

Profile Details

NPI number 1346276342
LBN Legal business name Richter, Jay A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jun 25th, 2014 - about 12 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 1346276342 NPPES
Colorado Other P01102035 RAILROAD MEDICARE
Colorado MEDICAID 01269471 RAILROAD MEDICARE

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