Provider Demographics
NPI:1255785242
Name:RICKMAN, SHEILA K
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:K
Last Name:RICKMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8053 KENSINGTON BLVD
Mailing Address - Street 2:APT 97
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-2230
Mailing Address - Country:US
Mailing Address - Phone:810-358-3802
Mailing Address - Fax:
Practice Address - Street 1:8053 KENSINGTON BLVD
Practice Address - Street 2:APT 97
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423-2230
Practice Address - Country:US
Practice Address - Phone:810-358-3802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-16
Last Update Date:2016-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other