Mcdaniels, Ricky

Mcdaniels, Ricky is an individual health care provider with primary practice located at 4607 Maccorkle Ave Sw Ste 300 , South Charleston WV 25309-1364. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mcdaniels, Ricky can be contacted via phone (304) 768-3688.

Contact Information

Primary practice address
4607 Maccorkle Ave Sw Ste 300 South Charleston WV 25309-1364
Phone: (304) 768-3688
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1112738 West Virginia

Profile Details

NPI number 1700297207
LBN Legal business name Mcdaniels, Ricky
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2014
Last updated May 19th, 2014 - about 12 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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