Henry, Ricki M

Henry, Ricki M is an individual health care provider with primary practice located at 695 Us Highway 46 Suite 400A, Fairfield NJ 07004-1592. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Henry, Ricki M can be contacted via phone (973) 826-8080.

Contact Information

Primary practice address
695 Us Highway 46 Suite 400A Fairfield NJ 07004-1592
Phone: (973) 826-8080
Fax: (866) 309-3354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA03589400 New Jersey
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA03589400 New Jersey

Profile Details

NPI number 1205075470
LBN Legal business name Henry, Ricki M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2009
Last updated Jan 17th, 2017 - about 8 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 1205075470 NPPES
New Jersey MEDICAID 0024155

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