Ricker, Jonathan Michael
Ricker, Jonathan Michael is an individual health care provider with primary practice located at 825 N Gibson Rd Ste 201 , Henderson NV 89011-1708. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Ricker, Jonathan Michael can be contacted via phone (702) 492-1162.Contact Information
Primary practice address
825 N Gibson Rd Ste 201
Henderson NV 89011-1708
Phone: (702) 492-1162
Fax: (702) 492-1319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO1670 | Nevada |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | DO1670 | Nevada |
Profile Details
| NPI number | 1396843496 |
|---|---|
| LBN Legal business name | Ricker, Jonathan Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Feb 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396843496 | NPPES |
| Nevada | MEDICAID | 1396843496 |
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