Ricks, Brent Christopher

Ricks, Brent Christopher is an sole proprietor health care provider with primary practice located at 1601 Mchenry Village Way Ste 3 , Modesto CA 95350-4338. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Ricks, Brent Christopher can be contacted via phone (209) 380-2884.

Contact Information

Primary practice address
1601 Mchenry Village Way Ste 3 Modesto CA 95350-4338
Phone: (209) 380-2884
Fax: (209) 526-3908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E 5055 California

Profile Details

NPI number 1821309295
LBN Legal business name Ricks, Brent Christopher
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2010
Last updated Jul 9th, 2013 - about 12 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 1821309295 NPPES
California Other HH008A MEDICARE PTAN

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