Ricks, Jason Alex

Ricks, Jason Alex is an sole proprietor health care provider with primary practice located at 119 E Main St , Lewistown MT 59457-1710. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ricks, Jason Alex can be contacted via phone (406) 535-5488.

Contact Information

Primary practice address
119 E Main St Lewistown MT 59457-1710
Phone: (406) 535-5488
Fax: (406) 535-3210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 789 Montana

Profile Details

NPI number 1275731101
LBN Legal business name Ricks, Jason Alex
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2007
Last updated Mar 3rd, 2023 - about 3 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 1275731101 NPPES
Montana MEDICAID 0484245
Montana Other 000084800
Montana Other 011000654
Montana Other 1245217199
Montana Other 25603

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