Individual
DR. CHRISTOPHER RICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MEDICAL VILLAGE DR, NEWPORT, VT 05855-9835
(802) 334-3504
(802) 334-3512
Mailing address
2351 G RD, GRAND JUNCTION, CO 81505-9641
(802) 334-3504
(802) 334-3512
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0420009448
VT
208M00000X
Hospitalist Physician
Primary
DR.0036616
CO
208M00000X
Hospitalist Physician
ME138300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00029500
BLUE SHIELD
VT
05
—
0VN159
—
VT
01
—
MVP
324005
VT
Enumeration date
08/30/2006
Last updated
12/12/2019
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