Richard Thomas Sipes in Shreveport - Addiction Medicine
Richard Thomas Sipes - NPI 1528063252
Richard Thomas Sipes is a Addiction Medicine in Shreveport, Louisiana. Richard Thomas Sipes practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Richard Thomas Sipes is 1528063252. The last update date is 2023-09-11.
Richard Thomas Sipes's current location address is 8625 Line Ave Ste E, Shreveport, Louisiana. You can contact this provider via phone number 3189356177 and fax number 8889354748. The mailing address for Richard Thomas Sipes is 8625 Line Ave Ste E, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Thomas Sipes |
|---|---|
| Address | 8625 Line Ave Ste E, Shreveport, Louisiana |
| Phone Number | 3189356177 |
| Fax Number | 8889354748 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1528063252 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2023-09-11 |
Provider Mailing Address Detail
| Address | 8625 Line Ave Ste E |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 7110661070 |
| Phone Number | 3189356177 |
| Fax Number | 8889354748 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 13289R |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 385661030D | LA | BCBS | |
| 1578827 | LA | -- |
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What is the unique 10-digit identification code issued to Richard Thomas Sipes by the Centers for Medicare & Medicaid Services?
The Richard Thomas Sipes has been assigned the NPI (National Provider Identifier) 1528063252 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Richard Thomas Sipes?
The Richard Thomas Sipes is situated at 8625 Line Ave Ste E, in the city of Shreveport, state of LA, with the zip code 7110661070.
What is the Richard Thomas Sipes's specialty and taxonomy code?
The Richard Thomas Sipes's specialty is Addiction Medicine, and the corresponding taxonomy code is 207Ra0401X.
On what date did the Centers for Medicare & Medicaid Services issue the 1528063252 to Richard Thomas Sipes?
The Richard Thomas Sipes received its 1528063252 assignment from the Centers for Medicare & Medicaid Services on 2005-06-17.
When was the information regarding Richard Thomas Sipes, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Richard Thomas Sipes, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-09-11.