Ricketson, Thomas Jerrod

Ricketson, Thomas Jerrod is an individual health care provider with primary practice located at 2504 S Chicago St , Fairchild Air Force Base WA 99011-8548. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Ricketson, Thomas Jerrod can be contacted via phone (509) 247-5414.

Contact Information

Primary practice address
2504 S Chicago St Fairchild Air Force Base WA 99011-8548
Phone: (509) 247-5414
Fax: (509) 247-3543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1831328152
LBN Legal business name Ricketson, Thomas Jerrod
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2009
Last updated Jul 8th, 2009 - about 16 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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