Depersio, Richard J

Depersio, Richard J is an individual health care provider with primary practice located at 7557A Dannaher Dr Suite 210, Powell TN 37849-3558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Depersio, Richard J can be contacted via phone (865) 521-8050.

Contact Information

Primary practice address
7557A Dannaher Dr Suite 210 Powell TN 37849-3558
Phone: (865) 521-8050
Fax: (865) 544-5216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 9089 Tennessee

Profile Details

NPI number 1457435794
LBN Legal business name Depersio, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated May 16th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457435794 NPPES
Tennessee MEDICAID 3710126

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