Healthcare Provider Details

I. General information

NPI: 1235056185
Provider Name (Legal Business Name): MR. RICKY JIM SALSMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 WESTVIEW DR
GRANT NE
69140-3112
US

IV. Provider business mailing address

PO BOX 579
GRANT NE
69140-0579
US

V. Phone/Fax

Practice location:
  • Phone: 308-352-6929
  • Fax:
Mailing address:
  • Phone: 308-352-6929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License NumberG74001576
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: