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NPI Code Detail

MEDICARE: JAMES C RICHEY

MEDICARE: JAMES C RICHEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry3195LA

General Provider Information

NPI Number : 1407875156
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES C RICHEY
Provider Business Mailing Address
First Line : PO BOX 1603
Second Line :
City : CROWLEY
State : LA
Zip : 70527-1603
Country : US
Telephone Number : 337-783-3321
Fax Number :
Provider Business Practice Location Address
First Line : 117 BLUE LAKE DR
Second Line :
City : CROWLEY
State : LA
Zip : 70526-2356
Country : US
Telephone Number : 337-783-3321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/08/2007

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Directions to “ JAMES C RICHEY ” Practice Location

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