Malone, Richard

Malone, Richard is an individual health care provider with primary practice located at 2714 Wilma Rudolph Blvd , Clarksville TN 37040-5837. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Malone, Richard can be contacted via phone (931) 552-0796.

Contact Information

Primary practice address
2714 Wilma Rudolph Blvd Clarksville TN 37040-5837
Phone: (931) 552-0796
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1356458756
LBN Legal business name Malone, Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1356458756 NPPES
Tennessee Other 1705 LICENSE #

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