Willliam Royce Richardson
Individual provider Active NPI Paramedic · Middleville, MI
NPI 1750162558 · NPPES record last updated Oct 9, 2023
Key facts
- NPI
- 1750162558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Paramedic 146L00000X
- License
- 081004 (MI)
- Practice address
- 128 High St
Middleville, MI 49333-9466 - Phone
- (269) 795-3350
- Fax
- (269) 795-7051
- NPI assigned
- Oct 9, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081004 | MI | MD | Paramedic |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thornapple Township | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 081004 | MI | Yes |
Addresses
Primary practice location
128 High St
Middleville, MI 49333-9466
Mailing address
200 E Main St
Middleville, MI 49333-8458
Phone (269) 795-3350
Other providers in Middleville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.