Axtell, Ricky J
Axtell, Ricky J is an individual health care provider with primary practice located at 3277 E. Louise Dr., Ste. 200 , Meridian ID 83642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Axtell, Ricky J can be contacted via phone (208) 468-5910.Contact Information
Primary practice address
3277 E. Louise Dr., Ste. 200
Meridian ID 83642
Phone: (208) 468-5910
Fax: (208) 884-2979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-10997 | Idaho |
Profile Details
| NPI number | 1548482771 |
|---|---|
| LBN Legal business name | Axtell, Ricky J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Mar 23rd, 2023 - 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.
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