Risney, James Richard
Risney, James Richard is an individual health care provider with primary practice located at 1021 W Oakland Ave Suite 102, Johnson City TN 37604-2191. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Risney, James Richard can be contacted via phone (423) 928-9014.Contact Information
Primary practice address
1021 W Oakland Ave Suite 102
Johnson City TN 37604-2191
Phone: (423) 928-9014
Fax: (423) 928-3559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | PA0000000411 | Tennessee |
Profile Details
| NPI number | 1639160815 |
|---|---|
| LBN Legal business name | Risney, James Richard |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Dec 10th, 2012 - about 14 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 | 1639160815 | NPPES |
| Tennessee | MEDICAID | 3701830 | |
| Tennessee | Other | TN0104 |
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