Rivas, Homero

Rivas, Homero is an sole proprietor health care provider with primary practice located at 5617 Highway 153 Suite 103, Hixson TN 37343-4675. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Rivas, Homero can be contacted via phone (423) 485-3226.

Contact Information

Primary practice address
5617 Highway 153 Suite 103 Hixson TN 37343-4675
Phone: (423) 485-3226
Fax: (423) 485-3302
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 42493 Tennessee
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 42493 Tennessee

Profile Details

NPI number 1932399300
LBN Legal business name Rivas, Homero
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2007
Last updated Aug 1st, 2013 - about 12 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 1932399300 NPPES
Tennessee MEDICAID 1506847
Tennessee Other 4195338

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