Rivas, Homero
Rivas, Homero is an sole proprietor health care provider with primary practice located at 5617 Highway 153 Suite 103, Hixson TN 37343-4675. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Rivas, Homero can be contacted via phone (423) 485-3226.Contact Information
Primary practice address
5617 Highway 153 Suite 103
Hixson TN 37343-4675
Phone: (423) 485-3226
Fax: (423) 485-3302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 42493 | Tennessee |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 42493 | Tennessee |
Profile Details
| NPI number | 1932399300 |
|---|---|
| LBN Legal business name | Rivas, Homero |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2007 |
| Last updated | Aug 1st, 2013 - about 13 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 | 1932399300 | NPPES |
| Tennessee | MEDICAID | 1506847 | |
| Tennessee | Other | 4195338 |
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