1801906334 NPI number — DR. ANTHONY T RICCI D.C.

Table of content: DR. ANTHONY T RICCI D.C. (NPI 1801906334)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801906334 NPI number — DR. ANTHONY T RICCI D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RICCI
Provider First Name:
ANTHONY
Provider Middle Name:
T
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801906334
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/20/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1610 WEST ST
Provider Second Line Business Mailing Address:
SUITE 110
Provider Business Mailing Address City Name:
ANNAPOLIS
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21401-4055
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-263-6331
Provider Business Mailing Address Fax Number:
410-280-9886

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1610 WEST ST
Provider Second Line Business Practice Location Address:
SUITE 110
Provider Business Practice Location Address City Name:
ANNAPOLIS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21401-4055
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-263-6331
Provider Business Practice Location Address Fax Number:
410-280-9886
Provider Enumeration Date:
08/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111NS0005X , with the licence number:  1542 PT , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 292468 . This is a "ALLIANCE PROIDER ID" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 6074299 . This is a "CIGNA PROVIDER ID" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: LP84AN . This is a "CAREFIRST BCBS PROV. ID" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 086650000 . This is a "PREF HEALTH NET PROV. ID" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1623373 . This is a "UHC PROVIDER ID" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 293065600 . This is a "US DEPT LABOR PROV. ID" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 5856209 . This is a "AETNA PROVIDER ID" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: R6170002 . This is a "FEDERAL BCBS PROV. ID" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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