Rhoden, Richard Earl

Rhoden, Richard Earl is an individual health care provider with primary practice located at 4500 I-55 North Suite 248, Jackson MS 39211-5966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Rhoden, Richard Earl can be contacted via phone (601) 982-8330.

Contact Information

Primary practice address
4500 I-55 North Suite 248 Jackson MS 39211-5966
Fax: (601) 982-8314
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 06460 Mississippi

Profile Details

NPI number 1073716387
LBN Legal business name Rhoden, Richard Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Jul 8th, 2007 - about 17 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 1073716387 NPPES
Mississippi MEDICAID 0013854

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