Rico, Edward A
Rico, Edward A is an individual health care provider with primary practice located at 777 S Main St Ste 100 , Clinton IN 47842-2493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Rico, Edward A can be contacted via phone (765) 828-1003.Contact Information
Primary practice address
777 S Main St Ste 100
Clinton IN 47842-2493
Phone: (765) 828-1003
Fax: (765) 828-1030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 036.123914 | Illinois |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 01070170A | Indiana |
Profile Details
| NPI number | 1477739423 |
|---|---|
| LBN Legal business name | Rico, Edward A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2008 |
| Last updated | Mar 19th, 2024 - about last year |
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 | 1477739423 | NPPES |
| Indiana | Other | P01117154 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 201068530 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 036123914 | RAILROAD MEDICARE |
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