De Jong, Chester Penn

De Jong, Chester Penn is an individual health care provider with primary practice located at 803 S Greene St , Rock Rapids IA 51246-1948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. De Jong, Chester Penn can be contacted via phone (712) 472-3716.

Contact Information

Primary practice address
803 S Greene St Rock Rapids IA 51246-1948
Phone: (712) 472-3716
Fax: (712) 472-2878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28191 Iowa

Profile Details

NPI number 1952484909
LBN Legal business name De Jong, Chester Penn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Dec 15th, 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 1952484909 NPPES
Iowa MEDICAID 0638700
Iowa MEDICAID 4075648
Iowa MEDICAID 0250498
Iowa MEDICAID 1075648

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