Richie, Heather L

Richie, Heather L is an individual health care provider with primary practice located at 1101 S 28Th Ave Ste A , Hattiesburg MS 39402-2610. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Richie, Heather L can be contacted via phone (601) 261-1640.

Contact Information

Primary practice address
1101 S 28Th Ave Ste A Hattiesburg MS 39402-2610
Phone: (601) 261-1640
Fax: (601) 579-5240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 110760 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 22801 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 22801 Mississippi

Profile Details

NPI number 1699779371
LBN Legal business name Richie, Heather L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 21st, 2020 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699779371 NPPES
Missouri MEDICAID 204649800
Missouri MEDICAID 05279741

Popular Providers