Richert, Allen Carl

Richert, Allen Carl is an individual health care provider with primary practice located at 2500 N State St Department Of Psychiatry, Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Richert, Allen Carl can be contacted via phone (601) 984-5815.

Contact Information

Primary practice address
2500 N State St Department Of Psychiatry Jackson MS 39216-4500
Phone: (601) 984-5815
Fax: (601) 984-5842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 16011 Mississippi
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 16011 Mississippi

Profile Details

NPI number 1922040195
LBN Legal business name Richert, Allen Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Mar 11th, 2014 - about 12 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 1922040195 NPPES
Alabama MEDICAID 156867
Alabama Other P01227746
Alabama MEDICAID 00120748
Alabama Other 260043154

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