Provider Demographics
NPI:1700388162
Name:HOSKINS, RICKY L I
Entity Type:Individual
Prefix:MR
First Name:RICKY
Middle Name:L
Last Name:HOSKINS
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 S CRAWFORD ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-6418
Mailing Address - Country:US
Mailing Address - Phone:217-799-4532
Mailing Address - Fax:217-213-5598
Practice Address - Street 1:109 S CRAWFORD ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-6418
Practice Address - Country:US
Practice Address - Phone:217-799-4532
Practice Address - Fax:217-213-5598
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-01
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation TherapistGroup - Single Specialty