Hendrix, Richard E
Hendrix, Richard E is an sole proprietor health care provider with primary practice located at 1611 Joy Ln , Fort Mohave AZ 86426-8807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hendrix, Richard E can be contacted via phone (928) 788-1900.Contact Information
Primary practice address
1611 Joy Ln
Fort Mohave AZ 86426-8807
Phone: (928) 788-1900
Fax: (928) 788-2048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 32537 | Arizona |
Profile Details
| NPI number | 1407977432 |
|---|---|
| LBN Legal business name | Hendrix, Richard E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Apr 22nd, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407977432 | NPPES |
| Arizona | Other | AZ0760200 | BCBS PROVIDER ID |
| Arizona | Other | 7256452 | BCBS PROVIDER ID |
| Arizona | MEDICAID | 873861 | BCBS PROVIDER ID |
| Arizona | Other | 919836 | BCBS PROVIDER ID |
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