Cantrell, Ricky A

Cantrell, Ricky A is an individual health care provider with primary practice located at 460 W 10Th Ave , Columbus OH 43210-1240. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Cantrell, Ricky A can be contacted via phone (614) 293-4969.

Contact Information

Primary practice address
460 W 10Th Ave Columbus OH 43210-1240
Phone: (614) 293-4969
Fax: (614) 293-6111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN.CNP.0028994 Ohio

Profile Details

NPI number 1154995512
LBN Legal business name Cantrell, Ricky A
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2021
Last updated Aug 17th, 2021 - about 4 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 1154995512 NPPES
Ohio MEDICAID 0451634

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