Healthcare Provider Details

I. General information

NPI: 1578475448
Provider Name (Legal Business Name): ERIC ALAN RICKEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12338 MCCOURTNEY RD
GRASS VALLEY CA
95949-9756
US

IV. Provider business mailing address

980 MC COURTNEY ROAD SUITE E
GRASS VALLEY CA
95945
US

V. Phone/Fax

Practice location:
  • Phone: 530-272-5464
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: