Rickett, Charles B

Rickett, Charles B is an individual health care provider with primary practice located at 9601 Interstate 630 Exit 7 , Little Rock AR 72205-7202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Rickett, Charles B can be contacted via phone (501) 202-2093.

Contact Information

Primary practice address
9601 Interstate 630 Exit 7 Little Rock AR 72205-7202
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C01300 Arkansas

Profile Details

NPI number 1801994520
LBN Legal business name Rickett, Charles B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated May 16th, 2008 - about 18 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 1801994520 NPPES
Arkansas MEDICAID 146062701

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