Scalcucci, Ricky L.

Scalcucci, Ricky L. is an individual health care provider with primary practice located at 800 1St St , Wausau WI 54403-4754. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Scalcucci, Ricky L. can be contacted via phone (715) 261-8500.

Contact Information

Primary practice address
800 1St St Wausau WI 54403-4754
Phone: (715) 261-8500
Fax: (715) 261-8665
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2204 Wisconsin

Profile Details

NPI number 1285617019
LBN Legal business name Scalcucci, Ricky L.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Oct 7th, 2020 - about 4 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 1285617019 NPPES
Wisconsin MEDICAID 38576100

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