Individual
DR. THOMAS ANDREW RICKE
Active
Individual
DR. THOMAS ANDREW RICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01064536A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000560077
ANTHEM
IN
01
—
000000560077
ANTHEM
KY
01
—
129703800
US DEPT OF LABOR
IN
01
—
134960I
UNICARE-MEDICARE
IN
01
—
200901810
MDWISE
IN
05
—
200901810
—
IN
01
—
3704439000
PASSPORT ADVANTAGE
—
01
—
50023154
PASSPORT
—
05
—
7100083790
—
KY
01
—
P00614640
RAILROAD MEDICARE
IN
Enumeration date
04/08/2008
Last updated
05/12/2016
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