Ricketson, Marcia Jean
Ricketson, Marcia Jean is an sole proprietor health care provider with primary practice located at 216 Ne 12Th St , Moore OK 73160-5830. 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. Ricketson, Marcia Jean can be contacted via phone (405) 794-2530.Contact Information
Primary practice address
216 Ne 12Th St
Moore OK 73160-5830
Phone: (405) 794-2530
Fax: (866) 371-6223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 710 | Oklahoma |
Profile Details
| NPI number | 1720010416 |
|---|---|
| LBN Legal business name | Ricketson, Marcia Jean |
| Credentials | P.A.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jun 17th, 2009 - about 15 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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