Ricco, Robert John
Ricco, Robert John is an sole proprietor health care provider with primary practice located at 82 Utt Drive , Grafton WV 26354. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Ricco, Robert John can be contacted via phone (304) 624-6554.Contact Information
Primary practice address
82 Utt Drive
Grafton WV 26354
Phone: (304) 624-6554
Fax: (304) 624-5223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 10026 | West Virginia |
Profile Details
| NPI number | 1760655823 |
|---|---|
| LBN Legal business name | Ricco, Robert John |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2008 |
| Last updated | Apr 10th, 2008 - about 18 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 | 1760655823 | NPPES |
| West Virginia | MEDICAID | 0165937000 |
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