Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 17779 | AL |
NPI | 1083649727 |
---|---|
Provider Name | Holly E Richter |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 08/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000031193 | (05) | AL |
000031193 | BLUE CROSS (01) | AL |
009970775 | (05) | AL |
051524764 | BLUE CROSS (01) | AL |
28364 | HEALTHSPRING OF ALABAMA (01) | AL |
G27223 | VIVA (01) | AL |