Houdersheldt, Ricky L.
Houdersheldt, Ricky L. is an sole proprietor health care provider with primary practice located at 3705 Teays Valley Rd Ste 202, Hurricane WV 25526-8757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Houdersheldt, Ricky L. can be contacted via phone (304) 757-6990.Contact Information
Primary practice address
3705 Teays Valley Rd Ste 202
Hurricane WV 25526-8757
Phone: (304) 757-6990
Fax: (304) 757-0912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 789 | West Virginia |
Profile Details
| NPI number | 1457306300 |
|---|---|
| LBN Legal business name | Houdersheldt, Ricky L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jun 18th, 2013 - about 11 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 | 1457306300 | NPPES |
| Other | 001720446 | BC | |
| MEDICAID | 0084490000 | BC |
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