Sipes, Richard Thomas

Sipes, Richard Thomas is an sole proprietor health care provider with primary practice located at 8625 Line Ave Ste E , Shreveport LA 71106-6107. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Sipes, Richard Thomas can be contacted via phone (318) 935-6177.

Contact Information

Primary practice address
8625 Line Ave Ste E Shreveport LA 71106-6107
Phone: (318) 935-6177
Fax: (888) 935-4748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 13289R Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13289R Louisiana
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 13289R Louisiana

Profile Details

NPI number 1528063252
LBN Legal business name Sipes, Richard Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated Sep 11th, 2023 - about 3 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 1528063252 NPPES
Louisiana Other 385661030D BCBS
Louisiana MEDICAID 1578827 BCBS

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