Ricketson, John
Ricketson, John is an individual health care provider with primary practice located at 1001 N Monroe St , Albany GA 31701-1903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Ricketson, John can be contacted via phone (229) 436-7248.Contact Information
Primary practice address
1001 N Monroe St
Albany GA 31701-1903
Phone: (229) 436-7248
Fax: (229) 431-1951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 23099 | Georgia |
Profile Details
| NPI number | 1710968979 |
|---|---|
| LBN Legal business name | Ricketson, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Nov 10th, 2010 - about 16 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 | 1710968979 | NPPES |
| Georgia | MEDICAID | 00287801A |
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