Rickey, Katherine K

Rickey, Katherine K is an sole proprietor health care provider with primary practice located at 347 Midway Blvd , Elyria OH 44035-9006. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rickey, Katherine K can be contacted via phone (440) 324-4980.

Contact Information

Primary practice address
347 Midway Blvd Elyria OH 44035-9006
Phone: (440) 324-4980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S.1200302-TRNE Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X S.1302689 Ohio

Profile Details

NPI number 1487908869
LBN Legal business name Rickey, Katherine K
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2012
Last updated Oct 31st, 2013 - about 13 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 1487908869 NPPES
Ohio MEDICAID 2871101

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