Phillips, Ricky Wayne

Phillips, Ricky Wayne is an individual health care provider with primary practice located at 3801 Houma Blvd Suite 100, Metairie LA 70006-4165. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Addiction (Substance Use Disorder). Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Phillips, Ricky Wayne can be contacted via phone (504) 309-8135.

Contact Information

Primary practice address
3801 Houma Blvd Suite 100 Metairie LA 70006-4165
Phone: (504) 309-8135
Fax: (504) 309-8156
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP05272 Louisiana
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X AP05272 Louisiana

Profile Details

NPI number 1477744894
LBN Legal business name Phillips, Ricky Wayne
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2007
Last updated Nov 22nd, 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 1477744894 NPPES
Louisiana MEDICAID 1029246

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