Individual
DR. JAMES EDWARD RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2003 W 4TH ST, ONTARIO, OH 44906-1865
(419) 775-0042
(419) 775-0043
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
(419) 775-0042
(419) 775-0043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
047919
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0558614
—
OH
Enumeration date
06/09/2006
Last updated
01/07/2021
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