Rickertsen, Michael Bruce
Rickertsen, Michael Bruce is an individual health care provider with primary practice located at 904 Sumner St , Lincoln NE 68502-2154. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Rickertsen, Michael Bruce can be contacted via phone (402) 434-2670.Contact Information
Primary practice address
904 Sumner St
Lincoln NE 68502-2154
Phone: (402) 434-2670
Fax: (402) 434-2670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1225386691 |
|---|---|
| LBN Legal business name | Rickertsen, Michael Bruce |
| Credentials | CTA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2012 |
| Last updated | Aug 16th, 2012 - about 13 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 | 1225386691 | NPPES |
| Nebraska | MEDICAID | 470398819 |
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