Rickard, Charles Edward

Rickard, Charles Edward is an individual health care provider with primary practice located at 557 W Park Pl , Henderson TN 38340-2027. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Rickard, Charles Edward can be contacted via phone (731) 989-1007.

Contact Information

Primary practice address
557 W Park Pl Henderson TN 38340-2027
Phone: (731) 989-1007
Fax: (731) 989-0704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000006144 Tennessee

Profile Details

NPI number 1700865847
LBN Legal business name Rickard, Charles Edward
Credentials MSN,APRN,BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Mar 15th, 2018 - about 6 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 1700865847 NPPES
Tennessee MEDICAID 3714672
Tennessee Other 0174180

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