Provider Demographics
NPI:1992489918
Name:RICHARDS, FRANK A
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:A
Last Name:RICHARDS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:585 GROVE ST UNIT 145NO545
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-4726
Mailing Address - Country:US
Mailing Address - Phone:240-277-0802
Mailing Address - Fax:
Practice Address - Street 1:585 GROVE ST UNIT 145NO545
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4726
Practice Address - Country:US
Practice Address - Phone:240-277-0802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAT74600698172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver