Rickert, Jeff Charles

Rickert, Jeff Charles is an individual health care provider with primary practice located at 1005 W Ralph M Hall Pkwy Suite 201, Rockwall TX 75032-6658. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rickert, Jeff Charles can be contacted via phone (972) 771-9081.

Contact Information

Primary practice address
1005 W Ralph M Hall Pkwy Suite 201 Rockwall TX 75032-6658
Phone: (972) 771-9081
Fax: (972) 772-7102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04912 Texas

Profile Details

NPI number 1972719151
LBN Legal business name Rickert, Jeff Charles
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 16th, 2007 - about 19 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 1972719151 NPPES
Texas Other PA04912 PHYSICIAN ASSISTANT

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