1609136613 NPI number — MR. RICHARD R. FRENCH LPCC S

Table of content: MR. RICHARD R. FRENCH LPCC S (NPI 1609136613)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609136613 NPI number — MR. RICHARD R. FRENCH LPCC S

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRENCH
Provider First Name:
RICHARD
Provider Middle Name:
R.
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
LPCC S
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FRENCH
Provider Other First Name:
RICK
Provider Other Middle Name:
R
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPCC S
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1609136613
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/23/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2450 NORTH REYNOLDS RD. #A
Provider Second Line Business Mailing Address:
THE REYNOLDS MEDICAL CLINIC
Provider Business Mailing Address City Name:
TOLEDO
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43615
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-535-3214
Provider Business Mailing Address Fax Number:
419-535-1404

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2450 NORTH REYNOLDS RD. #A
Provider Second Line Business Practice Location Address:
THE REYNOLDS MEDICAL CLINIC
Provider Business Practice Location Address City Name:
TOLEDO
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-535-3214
Provider Business Practice Location Address Fax Number:
419-535-1404
Provider Enumeration Date:
05/23/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  E. 0000951 SUPV , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)