Rhoden, Richard Earl
Rhoden, Richard Earl is an individual health care provider with primary practice located at 4500 I-55 North Suite 248, Jackson MS 39211-5966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Rhoden, Richard Earl can be contacted via phone (601) 982-8330.Contact Information
Primary practice address
4500 I-55 North Suite 248
Jackson MS 39211-5966
Phone: (601) 982-8330
Fax: (601) 982-8314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 06460 | Mississippi |
Profile Details
| NPI number | 1073716387 |
|---|---|
| LBN Legal business name | Rhoden, Richard Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073716387 | NPPES |
| Mississippi | MEDICAID | 0013854 |
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