National Provider Identifier Database

BEVERLY J RICKER, MD – NPI #1164476180
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

BEVERLY J RICKER, MD
5300 MEMORIAL DR
TWO RIVERS, WI54241
Phone: 429-075-9853
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for BEVERLY J RICKER

NPI Number 1164476180
Credentials MD
Entity Individual
Enumeration date 05/22/2006
Last updated 05/14/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • ND License #: 9937
  • WI License #: 33359
  • ND Medicaid: 13381
  • ND Medicaid: 647218400
  • WI Medicaid: 32019300
  • ND Other: 24202 AMERICA'S PPO/ARAZ #
  • ND Other: 40858 LHS/BANNERHEALTH #
  • ND Other: 1203226 MEDICA #
  • ND Other: 1203227 MEDICA #
  • ND Other: 1203228 MEDICA #
  • ND Other: 1203229 MEDICA #
  • ND Other: 972S0RI MNBS #
  • ND Other: 972S1RI MNBS #
  • ND Other: 972S2RI MNBS #
  • ND Other: 972S3RI MNBS #
  • ND Other: 25404 NDBS #
  • ND Other: 25406 NDBS #
  • ND Other: DA9061008851 PREFERRED ONE #
  • ND Other: 108971 UCARE #
Hospital affiliation n/a

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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