Rawson, Richard L

Rawson, Richard L is an sole proprietor health care provider with primary practice located at 9304 Bennie Ln , Ooltewah TN 37363-6917. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Rawson, Richard L can be contacted via phone (423) 954-1784.

Contact Information

Primary practice address
9304 Bennie Ln Ooltewah TN 37363-6917
Phone: (423) 954-1784
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 9879 Tennessee

Profile Details

NPI number 1396788071
LBN Legal business name Rawson, Richard L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Feb 21st, 2014 - about 11 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 1396788071 NPPES
Tennessee MEDICAID 3625086
Tennessee Other 430077867
Tennessee Other 4055593

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