Ricketts, Robert Karl

Ricketts, Robert Karl is an individual health care provider with primary practice located at 1400 University Avenue Suite B, Dubuque IA 52001. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ricketts, Robert Karl can be contacted via phone (563) 588-0500.

Contact Information

Primary practice address
1400 University Avenue Suite B Dubuque IA 52001
Phone: (563) 588-0500
Fax: (563) 583-0444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 06525 Iowa

Profile Details

NPI number 1083675052
LBN Legal business name Ricketts, Robert Karl
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1083675052 NPPES
Iowa Other 48982 BCBS
Iowa Other P00069885 BCBS
Iowa MEDICAID 0261552 BCBS

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