Provider Demographics
NPI:1215561493
Name:RICKMAN, MARGARET ANN (PA-C)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:RICKMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 COLLEGE ST STE E
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-2985
Mailing Address - Country:US
Mailing Address - Phone:540-251-3472
Mailing Address - Fax:540-251-3476
Practice Address - Street 1:80 COLLEGE ST STE E
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-2985
Practice Address - Country:US
Practice Address - Phone:540-251-3472
Practice Address - Fax:540-251-3476
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-27
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110-007333208VP0014X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty