Herron, Ricky
Herron, Ricky is an sole proprietor health care provider with primary practice located at 2333 Rosa L Parks Blvd Apt 305 , Nashville TN 37228-1242. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Herron, Ricky can be contacted via phone (901) 236-5455.Contact Information
Primary practice address
2333 Rosa L Parks Blvd Apt 305
Nashville TN 37228-1242
Phone: (901) 236-5455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1861936361 |
|---|---|
| LBN Legal business name | Herron, Ricky |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2016 |
| Last updated | Dec 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861936361 | NPPES |
| Tennessee | MEDICAID | 3397960 |
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