Sedgwick, Ricky Lee

Sedgwick, Ricky Lee is an individual health care provider with primary practice located at 1227 East Rusholme Street , Davenport IA 52803-2498. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Sedgwick, Ricky Lee can be contacted via phone (563) 421-1000.

Contact Information

Primary practice address
1227 East Rusholme Street Davenport IA 52803-2498
Phone: (563) 421-1000
Fax: (563) 421-7889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 02932 Iowa

Profile Details

NPI number 1689650905
LBN Legal business name Sedgwick, Ricky Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Jul 19th, 2010 - about 16 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 1689650905 NPPES
Iowa MEDICAID 6125393

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