National Provider Identifier Database

CHARLES E RICKARD JR FNP PC
Rural Health


Contact Information

CHARLES E RICKARD JR FNP PC
557 W PARK PL
HENDERSON, TN38340-2027
Phone: 731-989-1007
Fax: 731-989-0704
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for CHARLES E RICKARD JR FNP PC

NPI Number 1861446858
Legal business name
LBN
CHARLES E RICKARD JR FNP PC
Authorized official CHARLES RICKARD - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/22/2006
Last updated 05/27/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 44-3960

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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