Individual
JEREMY E. RICKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 S ORCHARD ST STE 219, BOISE, ID 83705-1922
(208) 999-1770
Mailing address
721 S WOODHAVEN AVE, MERIDIAN, ID 83642-3540
(208) 999-1770
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
ID
347C00000X
Private Vehicle
—
ID
Other
Enumeration date
03/18/2026
Last updated
03/30/2026
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