Warden, Richard Edward
Warden, Richard Edward is an sole proprietor health care provider with primary practice located at 8912 Midsouth Ave , Olive Branch MS 38654-2922. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Warden, Richard Edward can be contacted via phone (662) 890-4410.Contact Information
Primary practice address
8912 Midsouth Ave
Olive Branch MS 38654-2922
Phone: (662) 890-4410
Fax: (662) 890-4410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 983 | Mississippi |
Profile Details
| NPI number | 1326185638 |
|---|---|
| LBN Legal business name | Warden, Richard Edward |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326185638 | NPPES |
| Mississippi | MEDICAID | 00121579 |
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