Jay A Richter
Family Doctor - Adult Medicine
311 West 14th Street
Pueblo
, Colorado 81003-2710
Jay A Richter
Family Doctor - Adult Medicine
311 West 14th Street
Pueblo
, Colorado 81003-2710
(719) 595-7589
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Jay A Richter
- 311 West 14th Street
- Pueblo, CO
- Zip : 81003-2710
- Fax : (719) 595-7589
- Phone : (719) 595-7585
Second Address
- Jay A Richter
- 311 West 14th Street
- Pueblo, CO
- Zip : 81003-2710
- Fax : (719) 595-7589
- Phone : (719) 595-7585
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 26947 | CO |
National Provider Identifier
| NPI | 1346276342 |
|---|---|
| Provider Name | Jay A Richter |
| First Address | Pueblo, CO 81003-2710 |
| Second Address | Pueblo, CO 81003-2710 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2006 |
| Last Update Date | 25/06/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01269471 | (05) | CO |
| P01102035 | RAILROAD MEDICARE (01) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.