RONDELL L RICHARDSON CO BOCP NPI 1578763421

NPI Information

NPI: 1578763421
Provider Name: RONDELL L RICHARDSON, CO, BOCP
Classification: Prosthetist - 224P00000X
Entity Type: Individual
Address:
3210 PROSPERITY CHURCH RD STE 101
CHARLOTTE, NC
ZIP 28269
Phone: (704) 510-2204
Get Directions

Rondell L Richardson, CO, BOCP is a prosthetist in Charlotte, NC. The provider is a health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. Rondell L Richardson, CO, BOCP NPI is 1578763421. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3210 PROSPERITY CHURCH RD STE 101
CHARLOTTE, NC
ZIP 28269-194
Phone: (704) 510-2204
Fax: (704) 510-2218

The enumeration date for this NPI number is 7/19/2007 and was last updated on 8/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	222Z00000X	Orthotist		CO004511		No
2	224P00000X	Prosthetist		C22362		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	260519964	OTHER	NORTH CAROLINA	EIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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