Ko, Dicken Shiu-Chung
Ko, Dicken Shiu-Chung is an individual health care provider with primary practice located at 2 Dudley St Ste 175 , Providence RI 02905-3246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Ko, Dicken Shiu-Chung can be contacted via phone (401) 421-0710.Contact Information
Primary practice address
2 Dudley St Ste 175
Providence RI 02905-3246
Phone: (401) 421-0710
Fax: (401) 421-0796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 042.0012769 | Vermont |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 79821 | Massachusetts |
Profile Details
| NPI number | 1083604219 |
|---|---|
| LBN Legal business name | Ko, Dicken Shiu-Chung |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Mar 6th, 2024 - about 9 months 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 | 1083604219 | NPPES |
| Massachusetts | Other | 079821 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3164845 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J17470 | TUFTS HEALTH PLAN |
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