Ryals, Rickey Olvin

Ryals, Rickey Olvin is an individual health care provider with primary practice located at 1 Lile Ct Suite 101, Little Rock AR 72205-6242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ryals, Rickey Olvin can be contacted via phone (501) 225-7711.

Contact Information

Primary practice address
1 Lile Ct Suite 101 Little Rock AR 72205-6242
Phone: (501) 225-7711
Fax: (501) 225-7108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X R3273 Arkansas

Profile Details

NPI number 1639130073
LBN Legal business name Ryals, Rickey Olvin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jun 9th, 2014 - about 12 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 1639130073 NPPES
Arkansas MEDICAID 118659001

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