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:
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Health care specialties

SpecialtyCodeLicense #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 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 1114987666 NPPES
Georgia MEDICAID 000648227B
Georgia Other 260042608
Georgia MEDICAID 3764508-00

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