Clay, Ricky P

Clay, Ricky P is an individual health care provider with primary practice located at 210 9Th St Se , Rochester MN 55904-6756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Clay, Ricky P can be contacted via phone (507) 288-3443.

Contact Information

Primary practice address
210 9Th St Se Rochester MN 55904-6756
Phone: (507) 288-3443
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 21725 Mississippi
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 26207 Minnesota

Profile Details

NPI number 1891773545
LBN Legal business name Clay, Ricky P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Oct 3rd, 2018 - about 7 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 1891773545 NPPES
Minnesota MEDICAID 402515600

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