Ward, Michael Ricky

Ward, Michael Ricky is an sole proprietor health care provider with primary practice located at 375 Bullard Ave Suite 3, Clovis CA 93612-1056. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ward, Michael Ricky can be contacted via phone (559) 298-7424.

Contact Information

Primary practice address
375 Bullard Ave Suite 3 Clovis CA 93612-1056
Fax: (559) 298-7015
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X CA. 28253 California

Profile Details

NPI number 1669502753
LBN Legal business name Ward, Michael Ricky
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Jul 9th, 2007 - about 18 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 1669502753 NPPES
California MEDICAID B28253-01

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