Provider Demographics
NPI:1679860597
Name:RINKER, ERICA DOBBS (MD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:DOBBS
Last Name:RINKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 W 5TH ST STE 110
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-2752
Mailing Address - Country:US
Mailing Address - Phone:307-675-2690
Mailing Address - Fax:
Practice Address - Street 1:61 S GOULD ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-6304
Practice Address - Country:US
Practice Address - Phone:307-675-2690
Practice Address - Fax:307-675-2691
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA40402207Q00000X
IAR9279207Q00000X
WY10666A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY214055100Medicaid
IA1679860597Medicaid
IA719260257Medicare PIN