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Individual

LOUIS D. RICHENDOLLAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN-CRNA

Contact information

Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8487
(614) 293-8153
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8487

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.18137
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
MEDICARE PTAN
OH
01
PENDING
CAQH
05
PENDING
OH
Enumeration date
09/23/2015
Last updated
01/19/2022
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