Risinger, Adam Brooks
Risinger, Adam Brooks is an individual health care provider with primary practice located at 3964 Goodman Rd E Suite 111, Southaven MS 38672-8761. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Risinger, Adam Brooks can be contacted via phone (662) 890-6953.Contact Information
Primary practice address
3964 Goodman Rd E Suite 111
Southaven MS 38672-8761
Phone: (662) 890-6953
Fax: (662) 890-6954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT5427 | Tennessee |
Profile Details
| NPI number | 1508869462 |
|---|---|
| LBN Legal business name | Risinger, Adam Brooks |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Oct 22nd, 2014 - about 10 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 | 1508869462 | NPPES |
| Mississippi | Other | 620819926 | BCBS |
| Mississippi | Other | 620819926 | BCBS |
| Mississippi | Other | P00266256 | BCBS |
| Mississippi | Other | 4041683 | BCBS |
| Mississippi | Other | 0723280001 | BCBS |
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