Lockett, Ricky P.

Lockett, Ricky P. is an sole proprietor health care provider with primary practice located at 5800 49Th St N Ste S-207 , Saint Petersburg FL 33709-2146. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Lockett, Ricky P. can be contacted via phone (727) 896-8686.

Contact Information

Primary practice address
5800 49Th St N Ste S-207 Saint Petersburg FL 33709-2146
Fax: (727) 317-2716
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 59-3207217 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X OS6109 Florida

Profile Details

NPI number 1356410443
LBN Legal business name Lockett, Ricky P.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Sep 19th, 2023 - about last year

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 1356410443 NPPES
Florida MEDICAID 596170300
Florida Other 80494
Florida Other OS 6109

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