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Contact Information

BEVERLY J RICKER, MD
5300 MEMORIAL DR
TWO RIVERS, WI54241
 Phone: 429-075-9853
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BEVERLY J RICKER · (Female)

NPI # 1164476180
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2006
Last updated 05/14/2020 - About 6 years ago
Sole proprietor 1 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(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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