Brown, Ricky R

Brown, Ricky R is an individual health care provider with primary practice located at 100 Mercy Way , Joplin MO 64804-4524. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Brown, Ricky R can be contacted via phone (417) 556-3570.

Contact Information

Primary practice address
100 Mercy Way Joplin MO 64804-4524
Phone: (417) 556-3570
Fax: (417) 556-6475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 086800 Missouri

Profile Details

NPI number 1689655649
LBN Legal business name Brown, Ricky R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Mar 16th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689655649 NPPES
Missouri MEDICAID 919263905
Missouri Other P00434105

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