Search › Idaho › 207P00000X
Chase Ricker
NPI 1437611258 · on the registry since 2019
Practice
- Address
- 3080 E Gentry Way Ste 210
Meridian, ID 83642 - Phone
- (208) 384-9022
- Organisation at this address
- Lyon Medical Llc
Blackmer Podiatry
Nova Collective Llc
Lost River Wellness
Bluebird Hospice, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
Additional practice sites
- 720 Eskenazi Ave Bldg 3, Indianapolis, IN
- 1000 E Main St, Danville, IN
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 390200000X
- Licence states on file
- IN, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho