Doctor Name: | TAMMY RICHERT |
NPI Number: | 1578978664 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | DME.000546 |
Business Practice Address: | 110 Augusta Drive Broussard, LA - 70518 |
Business Phone Number: | 3372770746 |
Business Fax Number: | 3373302223 |
Mailing Address: | 202 W Fairfield Dr, BROUSSARD |
State: | LA |
Postal Code: | 705185130 |
Phone Number: | 3372770746 |
Fax Number: | 3373302223 |
NPI Enumeration Date: | 06/26/2014 |
NPI Last Update Date: | 07/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | DME.000546 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |