Heath, Ricky Daniel
Heath, Ricky Daniel is an individual health care provider with primary practice located at 529 Terry Reiley Way , Pottsville PA 17901-1774. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Heath, Ricky Daniel can be contacted via phone (570) 624-4444.Contact Information
Primary practice address
529 Terry Reiley Way
Pottsville PA 17901-1774
Phone: (570) 624-4444
Fax: (570) 624-4445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME135252 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD466865 | Pennsylvania |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | MD466865 | Pennsylvania |
Profile Details
| NPI number | 1285977413 |
|---|---|
| LBN Legal business name | Heath, Ricky Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2013 |
| Last updated | Oct 13th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285977413 | NPPES |
| Florida | Other | JM837 | MEDICARE |
| Florida | MEDICAID | 100987100 | MEDICARE |
| Florida | Other | HB94H | MEDICARE |
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