Kooima, Ricky

Kooima, Ricky is an individual health care provider with primary practice located at 1200 S 7Th Ave , Sioux Falls SD 57105-0900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kooima, Ricky can be contacted via phone (605) 336-2140.

Contact Information

Primary practice address
1200 S 7Th Ave Sioux Falls SD 57105-0900
Phone: (605) 336-2140
Fax: (605) 336-1677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4499 South Dakota

Profile Details

NPI number 1093750283
LBN Legal business name Kooima, Ricky
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Apr 18th, 2022 - about 4 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 1093750283 NPPES
South Dakota MEDICAID 6700252

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