Risney, James Richard

Risney, James Richard is an individual health care provider with primary practice located at 1021 W Oakland Ave Suite 102, Johnson City TN 37604-2191. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Risney, James Richard can be contacted via phone (423) 928-9014.

Contact Information

Primary practice address
1021 W Oakland Ave Suite 102 Johnson City TN 37604-2191
Phone: (423) 928-9014
Fax: (423) 928-3559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X PA0000000411 Tennessee

Profile Details

NPI number 1639160815
LBN Legal business name Risney, James Richard
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Dec 10th, 2012 - about 13 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 1639160815 NPPES
Tennessee MEDICAID 3701830
Tennessee Other TN0104

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