Provider Demographics
NPI:1588733059
Name:RICHARDS, PATRICIA (DC)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 HILL RD N STE A
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8880
Mailing Address - Country:US
Mailing Address - Phone:614-861-0898
Mailing Address - Fax:614-890-8652
Practice Address - Street 1:1702 HILL RD N STE A
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-8880
Practice Address - Country:US
Practice Address - Phone:614-861-0898
Practice Address - Fax:614-890-8652
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1930111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHANTHEMOther000000120227
OH2480677Medicaid
OH2480677Medicaid