Ricker, Beverly J

Ricker, Beverly J is an individual health care provider with primary practice located at 5300 Memorial Dr , Two Rivers WI 54241. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ricker, Beverly J can be contacted via phone (429) 075-9853.

Contact Information

Primary practice address
5300 Memorial Dr Two Rivers WI 54241
Phone: (429) 075-9853
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9937 North Dakota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33359 Wisconsin

Profile Details

NPI number 1164476180
LBN Legal business name Ricker, Beverly J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated May 14th, 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 1164476180 NPPES
North Dakota Other 25404 NDBS #
North Dakota MEDICAID 32019300 NDBS #
North Dakota Other 40858 NDBS #
North Dakota Other 1203228 NDBS #
North Dakota MEDICAID 13381 NDBS #
North Dakota MEDICAID 647218400 NDBS #
North Dakota Other 972S1RI NDBS #
North Dakota Other DA9061008851 NDBS #
North Dakota Other 972S3RI NDBS #
North Dakota Other 972S2RI NDBS #
North Dakota Other 24202 NDBS #
North Dakota Other 972S0RI NDBS #
North Dakota Other 108971 NDBS #
North Dakota Other 1203229 NDBS #
North Dakota Other 25406 NDBS #
North Dakota Other 1203226 NDBS #
North Dakota Other 1203227 NDBS #

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