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Contact Information

ROBERT RICKETSON V, MD
19 W EDWARDS ST
EDMOND, OK73003-5272
 Phone: 405-821-2375
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Microbiology

207ZM0300X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for ROBERT RICKETSON V · (Male)

NPI Number 1932968872
Status Active
Credentials MD
Entity Individual
Enumeration date 03/14/2024
Last updated 03/14/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 16569
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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