Ricks, Jacob R

Ricks, Jacob R is an sole proprietor health care provider with primary practice located at 500 W Grant St , Lake City MN 55041-1143. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ricks, Jacob R can be contacted via phone (651) 345-3321.

Contact Information

Primary practice address
500 W Grant St Lake City MN 55041-1143
Phone: (651) 345-3321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AA093040 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2066835 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA 0014 Minnesota

Profile Details

NPI number 1083942015
LBN Legal business name Ricks, Jacob R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2009
Last updated Mar 5th, 2021 - about 5 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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