Draeger, Ricky Charles
Draeger, Ricky Charles is an sole proprietor health care provider with primary practice located at 1801 W Knapp St Suite 2, Rice Lake WI 54868-1380. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Draeger, Ricky Charles can be contacted via phone (715) 234-1106.Contact Information
Primary practice address
1801 W Knapp St Suite 2
Rice Lake WI 54868-1380
Phone: (715) 234-1106
Fax: (715) 736-0960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2531-12 | Wisconsin |
Profile Details
| NPI number | 1407876998 |
|---|---|
| LBN Legal business name | Draeger, Ricky Charles |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Apr 10th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407876998 | NPPES |
| Wisconsin | MEDICAID | 38846700 |
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