Provider Demographics
NPI:1285488239
Name:CK2 INC.
Entity type:Organization
Organization Name:CK2 INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:CAMERON
Authorized Official - Last Name:FRIESEN
Authorized Official - Suffix:
Authorized Official - Credentials:BED, MA, ARCT
Authorized Official - Phone:204-799-3232
Mailing Address - Street 1:123 FORBES ROAD
Mailing Address - Street 2:
Mailing Address - City:WINNIPEG
Mailing Address - State:MB
Mailing Address - Zip Code:R2N 4A8
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:123
Practice Address - Street 2:FORBES ROAD
Practice Address - City:WINNIPEG
Practice Address - State:MANITOBA
Practice Address - Zip Code:R2N 4A8
Practice Address - Country:CA
Practice Address - Phone:204-799-3232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service