Sanders, Ricky L

Sanders, Ricky L is an individual health care provider with primary practice located at 80 Seymour Street , Hartford CT 06106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Sanders, Ricky L can be contacted via phone (860) 972-2117.

Contact Information

Primary practice address
80 Seymour Street Hartford CT 06106
Fax: (860) 545-1784
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 043147 Connecticut

Profile Details

NPI number 1679550339
LBN Legal business name Sanders, Ricky L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Apr 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679550339 NPPES
Connecticut MEDICAID 001431478

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