Williams, Rickey Lynn

Williams, Rickey Lynn is an sole proprietor health care provider with primary practice located at 7265 E Tanque Verde Rd Ste 121, Tucson AZ 85715-3467. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Williams, Rickey Lynn can be contacted via phone (520) 722-2585.

Contact Information

Primary practice address
7265 E Tanque Verde Rd Ste 121 Tucson AZ 85715-3467
Fax: (520) 722-1097
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14264 Arizona

Profile Details

NPI number 1558364083
LBN Legal business name Williams, Rickey Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2005
Last updated Jul 9th, 2007 - about 17 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 1558364083 NPPES
Arizona MEDICAID 238164-02

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