NPI 1063360832
Jeremy E. Ricky
Practice location
- Address
- 1111 S Orchard St STE 219, Boise, ID 83705-1922
- Phone
- (208) 999-1770
- Mailing address
- 721 S Woodhaven Ave, Meridian, ID 83642-3540
Registered specialties (2)
Transportation Network Company
Primary
Private Vehicle
Registry record
- NPI
- 1063360832
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Mar 2026
- Record last updated
- 30 Mar 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.