John N. Richie in Shreveport - Specialist

John N. Richie - NPI 1356403687

John N. Richie is a Specialist in Shreveport, Louisiana. John N. Richie practices all healthcare services and medical treatments related to Specialist. The NPI Number for John N. Richie is 1356403687. The last update date is 2007-07-08.

John N. Richie's current location address is 2508 Bert Kouns Industrial Loop, Shreveport, Louisiana. You can contact this provider via phone number 3186889955 and fax number 3186889929. The mailing address for John N. Richie is 2508 Bert Kouns Industrial Loop, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name John N. Richie
Address 2508 Bert Kouns Industrial Loop, Shreveport, Louisiana
Phone Number 3186889955
Fax Number 3186889929
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1356403687
Provider Enumeration Date 2006-12-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2508 Bert Kouns Industrial Loop
City Shreveport
State Louisiana (LA)
Post Code 711183133
Phone Number 3186889955
Fax Number 3186889929

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD.010298
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1169439 LA --
720819375711180 LA TRICARE

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FAQs about John N. Richie

What is the unique provider identifier assigned to John N. Richie?

The John N. Richie has been issued the NPI (National Provider Identifier) 1356403687 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where John N. Richie's facilities are situated?

The facilities of John N. Richie are physically located at the following address: 2508 Bert Kouns Industrial Loop, Shreveport, LA, 711183133.

What is John N. Richie's area of expertise and its corresponding taxonomy classification?

The John N. Richie's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.

On what date did the John N. Richie receive the assignment of its 1356403687 from the Centers for Medicare & Medicaid Services?

The John N. Richie was issued its 1356403687 by the Centers for Medicare & Medicaid Services on 2006-12-14.

As of what date were the details related to John N. Richie most recently updated or revised?

The information pertaining to John N. Richie, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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