Jacob Thomas Ricke, DO is a student in an organized health care education training program in Warwick, RI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jacob Thomas Ricke, DO NPI is 1306400171. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
455 TOLL GATE RD
WARWICK, RI
ZIP 02886-770
Phone: (401) 737-7010
The NPI 1306400171 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/27/2019 and was last updated on 4/27/2019.