Strack, Rickae D

Strack, Rickae D is an individual health care provider with primary practice located at 347 S Laura Ave , Wichita KS 67211-1518. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Strack, Rickae D can be contacted via phone (316) 686-7117.

Contact Information

Primary practice address
347 S Laura Ave Wichita KS 67211-1518
Phone: (316) 686-7117
Fax: (316) 686-2679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 76807 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 53-76807-051 Kansas

Profile Details

NPI number 1154702793
LBN Legal business name Strack, Rickae D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2015
Last updated Jul 5th, 2022 - about 2 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 1154702793 NPPES
Kansas MEDICAID 30004395370002

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