Ricketts, Robert Mason
Ricketts, Robert Mason is an individual health care provider with primary practice located at 1011 Baltimore Blvd Suite E, Westminster MD 21157-7055. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ricketts, Robert Mason can be contacted via phone (410) 469-5001.Contact Information
Primary practice address
1011 Baltimore Blvd Suite E
Westminster MD 21157-7055
Phone: (410) 469-5001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D0039296 | Maryland |
Profile Details
| NPI number | 1699954602 |
|---|---|
| LBN Legal business name | Ricketts, Robert Mason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2007 |
| Last updated | Oct 30th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699954602 | NPPES |
| Maryland | MEDICAID | 066921102 |
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