Provider Demographics
NPI:1740690585
Name:FALK, RICK CHARLES
Entity type:Individual
Prefix:MR
First Name:RICK
Middle Name:CHARLES
Last Name:FALK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15115 286TH RD
Mailing Address - Street 2:
Mailing Address - City:ATCHISON
Mailing Address - State:KS
Mailing Address - Zip Code:66002-9525
Mailing Address - Country:US
Mailing Address - Phone:913-370-0538
Mailing Address - Fax:
Practice Address - Street 1:15115 286TH RD
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002-9525
Practice Address - Country:US
Practice Address - Phone:913-370-0538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-01
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications