Broughton, Ricky Lee

Broughton, Ricky Lee is an individual health care provider with primary practice located at 1112 Enterprise Drive , Logan WV 25601. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Broughton, Ricky Lee can be contacted via phone (304) 896-6871.

Contact Information

Primary practice address
1112 Enterprise Drive Logan WV 25601
Phone: (304) 896-6871
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 21-818 West Virginia

Profile Details

NPI number 1639806227
LBN Legal business name Broughton, Ricky Lee
Credentials PRSS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2022
Last updated Aug 3rd, 2022 - 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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