Carpenter, Richard Owen
Carpenter, Richard Owen is an sole proprietor health care provider with primary practice located at 987 Canton St Bldg 14 , Roswell GA 30075-4240. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Carpenter, Richard Owen can be contacted via phone (404) 420-2697.Contact Information
Primary practice address
987 Canton St Bldg 14
Roswell GA 30075-4240
Phone: (404) 420-2697
Fax: (404) 420-2697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2084P0005X | 037165 | Georgia |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 037165 | Georgia |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 037165 | Georgia |
Profile Details
| NPI number | 1639216575 |
|---|---|
| LBN Legal business name | Carpenter, Richard Owen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Sep 25th, 2021 - about 3 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 | 1639216575 | NPPES |
| Georgia | MEDICAID | 000557884B |
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