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 |
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Address | 2500 North State Street, Jackson, Mississippi |
Phone Number | 6019842538 |
Fax Number | 6018151854 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1780645028 |
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Provider Enumeration Date | 2006-03-28 |
Last Updated Date | 2014-03-11 |
Provider Mailing Address Detail
Address | 2500 North State Street |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 39216 |
Phone Number | 6019842538 |
Fax Number | 6018151854 |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
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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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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.