Individual
MS. CHARLOTTE ANNE RICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT (ARRT)
Contact information
Practice address
1400 DOUGLAS ST STOP 0030, OMAHA, NE 68179-0030
(402) 544-3847
(402) 501-0475
Mailing address
9811 P CIR, OMAHA, NE 68127-2132
(402) 334-0613
(401) 501-0475
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
547
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
547
MEDICAL RADIOLOGRAPHER LI
NE
Enumeration date
11/16/2006
Last updated
07/08/2007
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