Ricketts, Gregory Michael

Ricketts, Gregory Michael is an individual health care provider with primary practice located at 1625 Straits Tpke Ste 200 , Middlebury CT 06762-1836. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Ricketts, Gregory Michael can be contacted via phone (203) 568-2929.

Contact Information

Primary practice address
1625 Straits Tpke Ste 200 Middlebury CT 06762-1836
Phone: (203) 568-2929
Fax: (203) 575-5121
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 67612 Connecticut

Profile Details

NPI number 1326459454
LBN Legal business name Ricketts, Gregory Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2014
Last updated Aug 9th, 2021 - about 5 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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