Ricketts, Frances Bernandine

Ricketts, Frances Bernandine is an sole proprietor health care provider with primary practice located at 2208 7Th Avenue , Rock Island IL 61201-2604. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ricketts, Frances Bernandine can be contacted via phone (309) 786-1569.

Contact Information

Primary practice address
2208 7Th Avenue Rock Island IL 61201-2604
Phone: (309) 786-1569
Fax: (309) 786-2201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071004493 Illinois
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 00033 Iowa

Profile Details

NPI number 1114963089
LBN Legal business name Ricketts, Frances Bernandine
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2006
Last updated Aug 27th, 2012 - about 14 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 1114963089 NPPES
Other 188390 MANAGED HEALTH NETWORK
Other 08122334 MANAGED HEALTH NETWORK
Other 5066340 MANAGED HEALTH NETWORK
Other MIS207028000 MANAGED HEALTH NETWORK
Other 104119200 MANAGED HEALTH NETWORK
MEDICAID MIS061227002 MANAGED HEALTH NETWORK
Other 245866 MANAGED HEALTH NETWORK

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