Mccrary, Richard
Mccrary, Richard is an individual health care provider with primary practice located at 1285 Springbridge Street. Suite A , Gulfport MS 39507-3423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mccrary, Richard can be contacted via phone (228) 896-6441.Contact Information
Primary practice address
1285 Springbridge Street. Suite A
Gulfport MS 39507-3423
Phone: (228) 896-6441
Fax: (228) 896-6576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 09363 | Mississippi |
Profile Details
| NPI number | 1265547301 |
|---|---|
| LBN Legal business name | Mccrary, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Apr 4th, 2018 - about 7 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 | 1265547301 | NPPES |
| Mississippi | MEDICAID | 00114228 |
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