Pearl B Ricklis is a Clinical in Clifton, New Jersey. Pearl B Ricklis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Pearl B Ricklis is 1568474450. The last update date is 2007-07-09.
Pearl B Ricklis's current location address is 199 Scoles Ave, Clifton, New Jersey. You can contact this provider via phone number 9737777638 and fax number 9737779311. The mailing address for Pearl B Ricklis is 199 Scoles Ave, Clifton, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pearl B Ricklis |
|---|---|
| Address | 199 Scoles Ave, Clifton, New Jersey |
| Phone Number | 9737777638 |
| Fax Number | 9737779311 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1568474450 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 199 Scoles Ave |
|---|---|
| City | Clifton |
| State | New Jersey (NJ) |
| Post Code | 70121125 |
| Phone Number | 9737777638 |
| Fax Number | 9737779311 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC01310300 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21784 | NJ | -- | |
| 72145 | NJ | VALUE OPTION ID | |
| 270260 | NJ | MHN ID | |
| 7286582 | NJ | AETNA | |
| 7482682 | NJ | GHI ID | |
| P-841937 | NJ | OXFORD |
Post Comment/ Review Below
What is the unique identification code assigned to Pearl B Ricklis by the Centers for Medicare & Medicaid Services?
The Pearl B Ricklis has been issued the NPI (National Provider Identifier) 1568474450. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Pearl B Ricklis?
The Pearl B Ricklis is situated at 199 Scoles Ave, in the city of Clifton, state of NJ, with the zip code 70121125.
What is Pearl B Ricklis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pearl B Ricklis's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568474450 to Pearl B Ricklis?
The Pearl B Ricklis received its 1568474450 assignment from the Centers for Medicare & Medicaid Services on 2006-08-12.
As of what date were the details pertaining to Pearl B Ricklis last refreshed?
The information related to the Pearl B Ricklis, including its address, specialty, and other relevant details, was last updated on 2007-07-09.