Gendron, Richard
Gendron, Richard is an individual health care provider with primary practice located at 2033 Meadowview Ln Ste 200, Kingsport TN 37660-7569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gendron, Richard can be contacted via phone (423) 857-2260.Contact Information
Primary practice address
2033 Meadowview Ln Ste 200
Kingsport TN 37660-7569
Phone: (423) 857-2260
Fax: (423) 857-2261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101025181 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD 11397 | Tennessee |
Profile Details
| NPI number | 1720081557 |
|---|---|
| LBN Legal business name | Gendron, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Sep 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720081557 | NPPES |
| Virginia | MEDICAID | 006713602 | |
| Virginia | MEDICAID | 6713602 | |
| Virginia | MEDICAID | 3898501 | |
| Virginia | MEDICAID | 5440943 |
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