Andrew Laurence Rivard in Jackson - Diagnostic Radiology

Andrew Laurence Rivard - NPI 1780645028

Andrew Laurence Rivard is a Diagnostic Radiology in Jackson, Mississippi. Andrew Laurence Rivard practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Andrew Laurence Rivard is 1780645028. The last update date is 2014-03-11.

Andrew Laurence Rivard's current location address is 2500 North State Street, Jackson, Mississippi. You can contact this provider via phone number 6019842538 and fax number 6018151854. The mailing address for Andrew Laurence Rivard is 2500 North State Street, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrew Laurence Rivard
Address 2500 North State Street, Jackson, Mississippi
Phone Number 6019842538
Fax Number 6018151854
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1780645028
Provider Enumeration Date 2006-03-28
Last Updated Date 2014-03-11

Provider Mailing Address Detail

Address 2500 North State Street
City Jackson
State Mississippi (MS)
Post Code 39216
Phone Number 6019842538
Fax Number 6018151854

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 45475
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P01167582 MS RAILROAD MEDICARE

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FAQs about Andrew Laurence Rivard

What is the unique identification code assigned to Andrew Laurence Rivard by the Centers for Medicare & Medicaid Services?

The Andrew Laurence Rivard has been issued the NPI (National Provider Identifier) 1780645028. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Andrew Laurence Rivard?

The Andrew Laurence Rivard is physically situated at 2500 North State Street, in the city of Jackson, state of MS, with the postal code 39216.

What is the Andrew Laurence Rivard's specialty and taxonomy code?

The Andrew Laurence Rivard's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.

When did the Andrew Laurence Rivard receive its 1780645028?

The Andrew Laurence Rivard was issued its 1780645028 on 2006-03-28, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Andrew Laurence Rivard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Andrew Laurence Rivard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-03-11.

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