Hendrix, Ricky Dale
Hendrix, Ricky Dale is an sole proprietor health care provider with primary practice located at 201 4Th St Ste 5A , Alexandria LA 71301-8421. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Hendrix, Ricky Dale can be contacted via phone (318) 483-1961.Contact Information
Primary practice address
201 4Th St Ste 5A
Alexandria LA 71301-8421
Phone: (318) 483-1961
Fax: (318) 483-1964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD.016338 | Louisiana |
| Other Service Providers / Specialist | 174400000X | MD.016338 | Louisiana |
Profile Details
| NPI number | 1124021381 |
|---|---|
| LBN Legal business name | Hendrix, Ricky Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Apr 19th, 2024 - about 5 months 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 | 1124021381 | NPPES |
| Louisiana | MEDICAID | 1348732 |
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