Rickert, Michaela Elise

Rickert, Michaela Elise is an individual health care provider with primary practice located at 430 Pennsylvania Ave # 320 , Glen Ellyn IL 60137-4464. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rickert, Michaela Elise can be contacted via phone (630) 668-2180.

Contact Information

Primary practice address
430 Pennsylvania Ave # 320 Glen Ellyn IL 60137-4464
Phone: (630) 668-2180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085005079 Illinois

Profile Details

NPI number 1952686057
LBN Legal business name Rickert, Michaela Elise
Credentials RD, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2011
Last updated Sep 14th, 2018 - about 6 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 1952686057 NPPES
Illinois MEDICAID 1952686057

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