Rivard, Andrew Laurence

Rivard, Andrew Laurence is an individual health care provider with primary practice located at 2500 State Street University Of Mississippi Medical Center, Jackson MS 39216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Rivard, Andrew Laurence can be contacted via phone (601) 984-1000.

Contact Information

Primary practice address
2500 State Street University Of Mississippi Medical Center Jackson MS 39216
Phone: (601) 984-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 45475 Minnesota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 21193 Mississippi

Profile Details

NPI number 1780645028
LBN Legal business name Rivard, Andrew Laurence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Mar 11th, 2014 - about 11 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 1780645028 NPPES
Mississippi Other P01167582 RAILROAD MEDICARE

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