Monett, Ricky Allen

Monett, Ricky Allen is an sole proprietor health care provider with primary practice located at 314 W 16Th St , Pueblo CO 81003-2728. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Monett, Ricky Allen can be contacted via phone (719) 546-3511.

Contact Information

Primary practice address
314 W 16Th St Pueblo CO 81003-2728
Phone: (719) 546-3511
Fax: (719) 583-1292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 99869 Colorado

Profile Details

NPI number 1750400933
LBN Legal business name Monett, Ricky Allen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 2007 - about 19 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 1750400933 NPPES
Colorado MEDICAID 05785341

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