Ricketts, Carolyn

Ricketts, Carolyn is an individual health care provider with primary practice located at 9022 Lucky Rd , Mc Minnville TN 37110-4486. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Sonography, Technologists, Technicians & Other Technical Service Providers / Radiography, Technologists, Technicians & Other Technical Service Providers / Vascular Sonography. Technologists, Technicians & Other Technical Service Providers / Sonography is her primary health care specialty. Ricketts, Carolyn can be contacted via phone (931) 934-2020.

Contact Information

Primary practice address
9022 Lucky Rd Mc Minnville TN 37110-4486
Phone: (931) 934-2020
Fax: (931) 934-2026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Sonography 246XS1301X 10577 Tennessee
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X 079866 Tennessee
Technologists, Technicians & Other Technical Service Providers / Sonography 2471S1302X 10577 Tennessee
Technologists, Technicians & Other Technical Service Providers / Vascular Sonography 2471V0105X 10577 Tennessee

Profile Details

NPI number 1790728293
LBN Legal business name Ricketts, Carolyn
Credentials RDCS, RDMS, RVT, ARR
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1790728293 NPPES
Tennessee MEDICAID 3790225
Tennessee Other 4017629

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