Crockett, Ricky

Crockett, Ricky is an individual health care provider with primary practice located at 2933 El Nido Dr , Altadena CA 91001-4529. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Crockett, Ricky can be contacted via phone (626) 397-7100.

Contact Information

Primary practice address
2933 El Nido Dr Altadena CA 91001-4529
Phone: (626) 397-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1215124300
LBN Legal business name Crockett, Ricky
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2007
Last updated Oct 2nd, 2007 - about 18 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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