Reicks, Edward William
Reicks, Edward William is an sole proprietor health care provider with primary practice located at 1440 N Harbor Blvd Suite 127, Fullerton CA 92835-4114. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Reicks, Edward William can be contacted via phone (714) 879-7091.Contact Information
Primary practice address
1440 N Harbor Blvd Suite 127
Fullerton CA 92835-4114
Phone: (714) 879-7091
Fax: (714) 441-0914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 11010 | California |
Profile Details
| NPI number | 1083768733 |
|---|---|
| LBN Legal business name | Reicks, Edward William |
| Credentials | PH,D, |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Feb 2nd, 2012 - about 14 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 | 1083768733 | NPPES |
| California | Other | OPL 11010 | USBH |
| California | Other | PSY 11010 | USBH |
| California | MEDICAID | PSY11010 | USBH |
| California | MEDICAID | CP11010 | USBH |
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