Chan, Ricky Yuk Kiu

Chan, Ricky Yuk Kiu is an sole proprietor health care provider with primary practice located at 420 Delaware St Se Ctr For Bld And Clot Disorders, Suite B-549, Mmc 713, Minneapolis MN 55455-0341. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Chan, Ricky Yuk Kiu can be contacted via phone (612) 626-6455.

Contact Information

Primary practice address
420 Delaware St Se Ctr For Bld And Clot Disorders, Suite B-549, Mmc 713 Minneapolis MN 55455-0341
Phone: (612) 626-6455
Fax: (612) 625-4955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9989 Minnesota

Profile Details

NPI number 1639134307
LBN Legal business name Chan, Ricky Yuk Kiu
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2006
Last updated Jun 11th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639134307 NPPES
Minnesota MEDICAID 206936900

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