Ricker, Glenn Bernard

Ricker, Glenn Bernard is an individual health care provider with primary practice located at 4909 E Mcdowell Rd , Phoenix AZ 85008-7735. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Ricker, Glenn Bernard can be contacted via phone (602) 685-6000.

Contact Information

Primary practice address
4909 E Mcdowell Rd Phoenix AZ 85008-7735
Phone: (602) 685-6000
Fax: (602) 275-1355
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-1539 Arizona

Profile Details

NPI number 1831592658
LBN Legal business name Ricker, Glenn Bernard
Credentials LISAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2014
Last updated Oct 7th, 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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