Provider Demographics
NPI:1386804557
Name:JEHUE, RICHARD (EDD, ATC, CSCS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:JEHUE
Suffix:
Gender:M
Credentials:EDD, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 CAPE FEAR LOOP
Mailing Address - Street 2:
Mailing Address - City:EMERALD ISLE
Mailing Address - State:NC
Mailing Address - Zip Code:28594-1812
Mailing Address - Country:US
Mailing Address - Phone:910-381-0336
Mailing Address - Fax:
Practice Address - Street 1:329 CAPE FEAR LOOP
Practice Address - Street 2:
Practice Address - City:EMERALD ISLE
Practice Address - State:NC
Practice Address - Zip Code:28594-1812
Practice Address - Country:US
Practice Address - Phone:910-381-0336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer