Odom, Richard

Odom, Richard is an individual health care provider with primary practice located at 213 E 2Nd St , Fairmont MN 56031-2814. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Odom, Richard can be contacted via phone (507) 236-1889.

Contact Information

Primary practice address
213 E 2Nd St Fairmont MN 56031-2814
Phone: (507) 236-1889
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302138 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2346 Minnesota

Profile Details

NPI number 1689216483
LBN Legal business name Odom, Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2019
Last updated Oct 13th, 2019 - 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.

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