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Contact Information

SHAWN M RICHARD
118 ONEIDA WAY
MAUMELLE, AR72113-5872
 Phone: 501-353-5765
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Unit

273R00000X A0[7] Hospital-Psychiatric Unit
Indicates primary specialty

NPI Profile & details for SHAWN M RICHARD · (Male)

NPI Number 1245111426
Status Active
Credentials
Entity Individual
Enumeration date 09/11/2025
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • AR License # E5344
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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