Michael, Richard James
Michael, Richard James is an sole proprietor health care provider with primary practice located at 1500 Line Ave Ste 204 , Shreveport LA 71101-4648. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Michael, Richard James can be contacted via phone (318) 300-4926.Contact Information
Primary practice address
1500 Line Ave Ste 204
Shreveport LA 71101-4648
Phone: (318) 300-4926
Fax: (318) 383-3951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 14448R | Louisiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD.14448R | Louisiana |
Profile Details
| NPI number | 1861496671 |
|---|---|
| LBN Legal business name | Michael, Richard James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Jan 14th, 2019 - about 5 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 | 1861496671 | NPPES |
| Louisiana | MEDICAID | 1125865 |
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