Individual
DR. ROBERT KARL RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1400 UNIVERSITY AVENUE, SUITE B, DUBUQUE, IA 52001
(563) 588-0500
(563) 583-0444
Mailing address
1400 UNIVERSITY AVENUE, SUITE B, DUBUQUE, IA 52001
(563) 588-0500
(563) 583-0444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06525
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0261552
—
IA
01
—
48982
BCBS
IA
01
—
P00069885
RAILROAD MEDICARE
IA
Enumeration date
03/30/2006
Last updated
07/08/2007
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