Brackett, Richard W

Brackett, Richard W is an individual health care provider with primary practice located at 6145 Shallowford Rd Ste 102, Chattanooga TN 37421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Brackett, Richard W can be contacted via phone (423) 893-6890.

Contact Information

Primary practice address
6145 Shallowford Rd Ste 102 Chattanooga TN 37421
Phone: (423) 893-6890
Fax: (423) 648-1115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 16562 Tennessee

Profile Details

NPI number 1568564672
LBN Legal business name Brackett, Richard W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jan 16th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568564672 NPPES
Tennessee MEDICAID 3731246
Tennessee Other 4110715

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