Rickabaugh, John Clyde

Rickabaugh, John Clyde is an individual health care provider with primary practice located at 3608 Medical Park Ct , Morehead City NC 28557-4347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rickabaugh, John Clyde can be contacted via phone (252) 247-3476.

Contact Information

Primary practice address
3608 Medical Park Ct Morehead City NC 28557-4347
Fax: (252) 247-3478
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9400133 North Carolina

Profile Details

NPI number 1396722534
LBN Legal business name Rickabaugh, John Clyde
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jun 20th, 2024 - about 5 months 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 1396722534 NPPES
North Carolina MEDICAID 8971397

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