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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992759039 NPPES
Mississippi MEDICAID 04407801
Mississippi MEDICAID 1698971

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