Search › Wisconsin › 101YA0400X
Jeffrey Richardson, CSAC
NPI 1386988293 · on the registry since 2012
Practice
- Address
- 757 S Main St
Suite 8
Fond Du Lac, WI 54935 - Phone
- (920) 731-9798
- Fax
- (920) 731-1097
- Organisation at this address
- Quality Cab Llc
Wisconsin Lutheran Child & Family Service IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101Y00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-11-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin