Ricke, Lori A
Ricke, Lori A is an individual health care provider with primary practice located at 2165 White Bear Ave N , Maplewood MN 55109-2707. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ricke, Lori A can be contacted via phone (651) 523-9800.Contact Information
Primary practice address
2165 White Bear Ave N
Maplewood MN 55109-2707
Phone: (651) 523-9800
Fax: (651) 523-9801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 37047 | Minnesota |
Profile Details
| NPI number | 1871553461 |
|---|---|
| LBN Legal business name | Ricke, Lori A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Sep 21st, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871553461 | NPPES |
| Minnesota | Other | 108565 | UCARE |
| Minnesota | Other | 01-00495 | UCARE |
| Minnesota | Other | 556K3RI | UCARE |
| Minnesota | Other | NA9021018887 | UCARE |
| Minnesota | MEDICAID | 599022000 | UCARE |
| Minnesota | Other | HP11308 | UCARE |
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