Rickey, Nancy Jo

Rickey, Nancy Jo is an individual health care provider with primary practice located at 1400 Pottery Ave , Port Orchard WA 98366-3711. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Rickey, Nancy Jo can be contacted via phone (360) 895-5000.

Contact Information

Primary practice address
1400 Pottery Ave Port Orchard WA 98366-3711
Phone: (360) 895-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X PT00001026 Washington

Profile Details

NPI number 1205981420
LBN Legal business name Rickey, Nancy Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Oct 15th, 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 1205981420 NPPES
Washington MEDICAID 8407090

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