Scacewater, Ricky L
Scacewater, Ricky L is an individual health care provider with primary practice located at 100 Mercy Way Ste 450 , Joplin MO 64804-4524. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Scacewater, Ricky L can be contacted via phone (417) 556-8377.Contact Information
Primary practice address
100 Mercy Way Ste 450
Joplin MO 64804-4524
Phone: (417) 556-8377
Fax:
Website:
Health care specialties
Profile Details
| NPI number | 1427154558 |
|---|---|
| LBN Legal business name | Scacewater, Ricky L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jun 10th, 2024 - about 2 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 | 1427154558 | NPPES |
| Kansas | MEDICAID | 100201600E | |
| Kansas | MEDICAID | 201983608 | |
| Kansas | Other | P01014439 | |
| Kansas | MEDICAID | 100076990A |
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