CHARLES E RICKARD JR FNP PC; NPI #1861446858

Contact Information

CHARLES E RICKARD JR FNP PC

557 W PARK PL
HENDERSON, TN 38340-2027

Phone: 731-989-1007
Fax: 731-989-0704
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for CHARLES E RICKARD JR FNP PC

NPI Number 1861446858

LBN Legal business name CHARLES E RICKARD JR FNP PC

Authorized official CHARLES RICKARD - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/22/2006

Last updated 05/27/2010 - About 16 years ago

Identifiers

License #

44-3960

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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