Harrelson, Rick Alan

Harrelson, Rick Alan is an individual health care provider with primary practice located at 101 Professional Lane , Enterprise AL 36330. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Harrelson, Rick Alan can be contacted via phone (334) 347-3404.

Contact Information

Primary practice address
101 Professional Lane Enterprise AL 36330
Fax: (334) 693-0613
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 00017429 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00017429 Alabama

Profile Details

NPI number 1578512083
LBN Legal business name Harrelson, Rick Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Apr 19th, 2022 - about 4 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 1578512083 NPPES
Alabama Other 51028525 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 000028525 BLUE CROSS BLUE SHIELD

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