Individual
DR. JAMES B RICKERT I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 279-6506
(812) 275-1268
Mailing address
583 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5515
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01041499A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100366950
—
IN
Enumeration date
06/08/2005
Last updated
12/21/2020
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