Monroe, Rickie Kelvin

Monroe, Rickie Kelvin is an individual health care provider with primary practice located at 1044 Belmont Ave , Youngstown OH 44504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Monroe, Rickie Kelvin can be contacted via phone (330) 480-3658.

Contact Information

Primary practice address
1044 Belmont Ave Youngstown OH 44504
Phone: (330) 480-3658
Fax: (330) 480-3439
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35.065479 Ohio
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD430885 Pennsylvania

Profile Details

NPI number 1487649513
LBN Legal business name Monroe, Rickie Kelvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Aug 2nd, 2019 - about 5 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 1487649513 NPPES
Other 10829973 CAQH
Other 4238531 CAQH
MEDICAID 0931504 CAQH

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