John E Richards
Family Doctor - Adult Medicine
1106 Douglas St Ste D
Longview
, Washington 98632-2429
John E Richards
Family Doctor - Adult Medicine
1106 Douglas St Ste D
Longview
, Washington 98632-2429
(360) 423-9230
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- John E Richards
- 1106 Douglas St Ste D
- Longview, WA
- Zip : 98632-2429
- Fax : (360) 423-9230
- Phone : (360) 423-9229
Second Address
- John E Richards
- 1106 Douglas St Ste D
- Longview, WA
- Zip : 98632-2429
- Fax : (360) 423-9230
- Phone : (360) 423-9229
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 15784 | WA |
National Provider Identifier
| NPI | 1225051097 |
|---|---|
| Provider Name | John E Richards |
| First Address | Longview, WA 98632-2429 |
| Second Address | Longview, WA 98632-2429 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 21/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1121243 | (05) | WA |
| A08205 | (02) |
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.