Clark, Steven Heyen
Clark, Steven Heyen is an individual health care provider with primary practice located at 801 Newton Ave , Iowa City IA 52242-1001. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Clark, Steven Heyen can be contacted via phone (319) 335-7440.Contact Information
Primary practice address
801 Newton Ave
Iowa City IA 52242-1001
Phone: (319) 335-7440
Fax: (319) 335-7451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 07536 | Iowa |
Profile Details
| NPI number | 1629172622 |
|---|---|
| LBN Legal business name | Clark, Steven Heyen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Oct 5th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629172622 | NPPES |
| Iowa | MEDICAID | 1106385 |
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