1 SapherCheck records found for Person Ricky houdersheldt
1. Ricky Houdersheldt
| Profile Type | PERSON |
|---|---|
| Name |
RICKY HOUDERSHELDT
|
| First Name |
RICKY
|
| Last Name |
HOUDERSHELDT
|
| Country |
UNITED STATES
|
| First Seen | 2024-10-02 |
| Last Seen | 2024-10-24 |
| Last Change | 2024-10-02 |
| Npi Code |
1457306300
|
| Datasets |
US WEST VIRGINIA MEDICAID PROVIDER EXCLUSIONS AND TERMINATIONS
|
| Address |
3705 TEAYS VALLEY ROAD, SUITE 202, HURRICANE, WV 25526
|
| Topics |
DEBARRED ENTITY
|
1 Sanctions
1. Sanction Caption: Sanction| Sanction Caption | Sanction |
|---|---|
| Sanction Datasets |
US West Virginia Medicaid Provider Exclusions and Terminations |
| Sanction First Seen | 2024-10-02 |
| Sanction Last Change | 2024-10-02 |
| Sanction Last Seen | 2024-10-24 |
| Sanction Properties |
Authority:
Medicaid Management Information System Start Date: 2020-08-18 Country: United States Entity: us-medwv-fb6cb903f08d1fddddab78cffd0a79428e22a15d Provisions: Excluded Reason: License revoked by WV Osteopathic Medicine Board Source URL: https://www.wvmmis.com/WV%20Medicaid%20Provider%20SanctionedExclusion/Forms/AllItems.aspx |