Ricker, Denise M

Ricker, Denise M is an individual health care provider with primary practice located at 2905 Telegraph Ave , Berkeley CA 94705-2063. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Ricker, Denise M can be contacted via phone (510) 841-0411.

Contact Information

Primary practice address
2905 Telegraph Ave Berkeley CA 94705-2063
Fax: (510) 845-5030
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G62963 California

Profile Details

NPI number 1427155118
LBN Legal business name Ricker, Denise M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Jul 9th, 2007 - about 18 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 1427155118 NPPES
California MEDICAID 00G629630
California Other 110065923

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