Christensen, Richard Cull
Christensen, Richard Cull is an individual health care provider with primary practice located at 611 E Adams St , Jacksonville FL 32202-2847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Christensen, Richard Cull can be contacted via phone (904) 394-8068.Contact Information
Primary practice address
611 E Adams St
Jacksonville FL 32202-2847
Phone: (904) 394-8068
Fax: (904) 353-7345
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME62682 | Florida |
Profile Details
NPI number | 1114987666 |
---|---|
LBN Legal business name | Christensen, Richard Cull |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2006 |
Last updated | Feb 24th, 2012 - about 13 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 | 1114987666 | NPPES |
Georgia | MEDICAID | 000648227B | |
Georgia | Other | 260042608 | |
Georgia | MEDICAID | 3764508-00 |
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