Rickerby, Michelle L

Rickerby, Michelle L is an individual health care provider with primary practice located at 593 Eddy Street Potter Basement, Providence RI 02903-4923. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Rickerby, Michelle L can be contacted via phone (401) 444-8638.

Contact Information

Primary practice address
593 Eddy Street Potter Basement Providence RI 02903-4923
Phone: (401) 444-8638
Fax: (401) 444-2085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD09800 Rhode Island

Profile Details

NPI number 1396763223
LBN Legal business name Rickerby, Michelle L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Sep 3rd, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396763223 NPPES
Rhode Island MEDICAID MR27488

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