Garrison, Richard N

Garrison, Richard N is an individual health care provider with primary practice located at 401 E Chestnut St Suite 710, Louisville KY 40202-5700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Garrison, Richard N can be contacted via phone (502) 583-8303.

Contact Information

Primary practice address
401 E Chestnut St Suite 710 Louisville KY 40202-5700
Fax: (502) 584-0302
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 17065 Kentucky
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 17065 Kentucky

Profile Details

NPI number 1083663934
LBN Legal business name Garrison, Richard N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jul 30th, 2009 - about 15 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 1083663934 NPPES
Kentucky Other 1051113 PASSPORT
Kentucky MEDICAID 64170657 PASSPORT
Kentucky MEDICAID 100359210B PASSPORT

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