Rickmeyer, Mark D
Rickmeyer, Mark D is an individual health care provider with primary practice located at 714 Gravois Rd Ste 210, Fenton MO 63026-7723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rickmeyer, Mark D can be contacted via phone (314) 543-5230.Contact Information
Primary practice address
714 Gravois Rd Ste 210
Fenton MO 63026-7723
Phone: (314) 543-5230
Fax: (314) 543-5280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 106510 | Missouri |
Profile Details
| NPI number | 1578509337 |
|---|---|
| LBN Legal business name | Rickmeyer, Mark D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Apr 17th, 2020 - about 6 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 | 1578509337 | NPPES |
| Missouri | MEDICAID | 243764602 |
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