Wilson, Rickie

Wilson, Rickie is an sole proprietor health care provider with primary practice located at 1422 E State St Apt # 5, Rockford IL 61104-2338. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Wilson, Rickie can be contacted via phone (414) 702-0234.

Contact Information

Primary practice address
1422 E State St Apt # 5 Rockford IL 61104-2338
Phone: (414) 702-0234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209.010905 Illinois

Profile Details

NPI number 1417387119
LBN Legal business name Wilson, Rickie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2013
Last updated Nov 15th, 2013 - about 13 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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