Pak, Richard Y

Pak, Richard Y is an individual health care provider with primary practice located at 3939 Central Pike , Hermitage TN 37076. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pak, Richard Y can be contacted via phone (615) 883-2331.

Contact Information

Primary practice address
3939 Central Pike Hermitage TN 37076
Fax: (615) 391-1785
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD 40197 Tennessee

Profile Details

NPI number 1710968037
LBN Legal business name Pak, Richard Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jul 15th, 2024 - about 2 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 1710968037 NPPES
Tennessee MEDICAID 3334384

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