Fields, Rickey P

Fields, Rickey P is an individual health care provider with primary practice located at 225 Windsor Dr , Mt Sterling KY 40353. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Fields, Rickey P can be contacted via phone (859) 498-3400.

Contact Information

Primary practice address
225 Windsor Dr Mt Sterling KY 40353
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4207 Kentucky
Dental Providers / Dentist 122300000X 4207 Kentucky

Profile Details

NPI number 1992846885
LBN Legal business name Fields, Rickey P
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jun 15th, 2010 - about 14 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 1992846885 NPPES
Kentucky Other 45608916 EPSDT (A MEDICAID PROGRAM)
Kentucky MEDICAID 60042074 EPSDT (A MEDICAID PROGRAM)

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