Andersen, Scott Ravn

Andersen, Scott Ravn is an sole proprietor health care provider with primary practice located at 7302 Nw 19Th St , Ankeny IA 50023-9374. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Andersen, Scott Ravn can be contacted via phone (641) 780-9634.

Contact Information

Primary practice address
7302 Nw 19Th St Ankeny IA 50023-9374
Phone: (641) 780-9634
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X A05758 Iowa

Profile Details

NPI number 1013095348
LBN Legal business name Andersen, Scott Ravn
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2006
Last updated May 3rd, 2021 - about 3 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 1013095348 NPPES
Iowa MEDICAID 0109132
Iowa Other 15746

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