Ralicki, Robin A
Ralicki, Robin A is an individual health care provider with primary practice located at 329 Conway St Greenfield Health Center, Greenfield MA 01301-1526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ralicki, Robin A can be contacted via phone (413) 774-6301.Contact Information
Primary practice address
329 Conway St Greenfield Health Center
Greenfield MA 01301-1526
Phone: (413) 774-6301
Fax: (413) 774-6528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 100668 | Massachusetts |
Profile Details
| NPI number | 1497719090 |
|---|---|
| LBN Legal business name | Ralicki, Robin A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Jun 18th, 2008 - about 17 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 | 1497719090 | NPPES |
| Massachusetts | Other | 100668 | CONNECTICARE |
| Massachusetts | Other | NP1663 | CONNECTICARE |
| Massachusetts | Other | 500016130 | CONNECTICARE |
| Massachusetts | Other | 1295087 | CONNECTICARE |
| Massachusetts | MEDICAID | 0351041 | CONNECTICARE |
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