Ricky Joseph Colmer, PHD, LAC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198-000537 Issued in IL

Practice address

34930 N US Highway 45
#108
Lake Villa, IL 60046-7537

Phone

(847) 691-4935

NPI assigned

Jun 3, 2007

Last updated

Apr 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1427250414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34930 N US HIGHWAY 45",
            "address_2": "#108",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600467537",
            "telephone_number": "847-691-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34930 N US HIGHWAY 45",
            "address_2": "#108",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600467537",
            "telephone_number": "847-691-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLMER",
        "first_name": "RICKY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PHD, LAC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-03",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198-000537",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "362-055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.