Kubicka, Richard Joseph

Kubicka, Richard Joseph is an individual health care provider with primary practice located at 290 Main St Nw Suite 100, Elk River MN 55330-1270. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Kubicka, Richard Joseph can be contacted via phone (763) 241-0373.

Contact Information

Primary practice address
290 Main St Nw Suite 100 Elk River MN 55330-1270
Phone: (763) 241-0373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 46028 Minnesota
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 46028 Minnesota
Allopathic & Osteopathic Physicians / Surgery 208600000X 46028 Minnesota

Profile Details

NPI number 1255369989
LBN Legal business name Kubicka, Richard Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Feb 6th, 2024 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255369989 NPPES
Minnesota MEDICAID 260491400

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