Spotts, Ricke L

Spotts, Ricke L is an sole proprietor health care provider with primary practice located at 717 S 8Th St , Lebanon PA 17042-6721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Spotts, Ricke L can be contacted via phone (717) 274-6657.

Contact Information

Primary practice address
717 S 8Th St Lebanon PA 17042-6721
Phone: (717) 274-6657
Fax: (717) 270-6615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD019767E Pennsylvania

Profile Details

NPI number 1154314979
LBN Legal business name Spotts, Ricke L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2005
Last updated Jun 30th, 2010 - about 14 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 1154314979 NPPES
Pennsylvania Other 091490 HIGHMARK BLUE SHIELD
Pennsylvania Other 03182300 HIGHMARK BLUE SHIELD
Pennsylvania MEDICAID 0006877850006 HIGHMARK BLUE SHIELD

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