Tate, Richard

Tate, Richard is an individual health care provider with primary practice located at 138 Lazaro Blvd Suite A, Opelousas LA 70570-9126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tate, Richard can be contacted via phone (337) 942-2065.

Contact Information

Primary practice address
138 Lazaro Blvd Suite A Opelousas LA 70570-9126
Phone: (337) 942-2065
Fax: (337) 942-9964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 011879 Louisiana

Profile Details

NPI number 1205838794
LBN Legal business name Tate, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 8th, 2007 - about 19 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 1205838794 NPPES
Louisiana MEDICAID 1139297

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