Ricker, Lisa

Ricker, Lisa is an individual health care provider with primary practice located at 45 Reade Pl , Poughkeepsie NY 12601-3947. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Ricker, Lisa can be contacted via phone (845) 483-6217.

Contact Information

Primary practice address
45 Reade Pl Poughkeepsie NY 12601-3947
Phone: (845) 483-6217
Fax: (845) 483-6108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F302940 New York

Profile Details

NPI number 1386674844
LBN Legal business name Ricker, Lisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 8th, 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 1386674844 NPPES
New York MEDICAID 02175262

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