Richards, James Darryl

Richards, James Darryl is an sole proprietor health care provider with primary practice located at 3830 Mirandy Rd , Cookeville TN 38506-8646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Richards, James Darryl can be contacted via phone (931) 239-0284.

Contact Information

Primary practice address
3830 Mirandy Rd Cookeville TN 38506-8646
Phone: (931) 239-0284
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD020946 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD20946 Tennessee

Profile Details

NPI number 1831181205
LBN Legal business name Richards, James Darryl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2005
Last updated Jul 20th, 2011 - about 15 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 1831181205 NPPES
Tennessee MEDICAID 1509111
Tennessee MEDICAID 3055058

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