Lacy, Erik Rittenhouse

Lacy, Erik Rittenhouse is an individual health care provider with primary practice located at 1441 Florida Avenue , Modesto CA 95350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Lacy, Erik Rittenhouse can be contacted via phone (209) 576-3609.

Contact Information

Primary practice address
1441 Florida Avenue Modesto CA 95350
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M2996 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A83901 California

Profile Details

NPI number 1801841077
LBN Legal business name Lacy, Erik Rittenhouse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jun 23rd, 2020 - about 6 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 1801841077 NPPES
California MEDICAID 00A839010

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