Blue, F Richard
Blue, F Richard is an sole proprietor health care provider with primary practice located at 6100 Lake Forrest Dr Nw Ste 510, Atlanta GA 30328-3822. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blue, F Richard can be contacted via phone (404) 705-9770.Contact Information
Primary practice address
6100 Lake Forrest Dr Nw Ste 510
Atlanta GA 30328-3822
Phone: (404) 705-9770
Fax: (404) 531-0517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 515 | Georgia |
Profile Details
| NPI number | 1477615953 |
|---|---|
| LBN Legal business name | Blue, F Richard |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1477615953 | NPPES |
| Georgia | MEDICAID | 00480191B |
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