Vanderbrook, Richard C
Vanderbrook, Richard C is an sole proprietor health care provider with primary practice located at 1202 S Tyler St , Covington LA 70433-2330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Vanderbrook, Richard C can be contacted via phone (985) 898-4000.Contact Information
Primary practice address
1202 S Tyler St
Covington LA 70433-2330
Phone: (985) 898-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD12282R | Louisiana |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 12282R | Louisiana |
Profile Details
| NPI number | 1992759039 |
|---|---|
| LBN Legal business name | Vanderbrook, Richard C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2006 |
| Last updated | May 18th, 2021 - about 3 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 | 1992759039 | NPPES |
| Mississippi | MEDICAID | 04407801 | |
| Mississippi | MEDICAID | 1698971 |
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