De Ruyter, Mark Alan

De Ruyter, Mark Alan is an individual health care provider with primary practice located at 116 E. 11Th St. , Spencer IA 51301. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. De Ruyter, Mark Alan can be contacted via phone (712) 264-6048.

Contact Information

Primary practice address
116 E. 11Th St. Spencer IA 51301
Phone: (712) 264-6048
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 02160 Iowa

Profile Details

NPI number 1427482199
LBN Legal business name De Ruyter, Mark Alan
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2013
Last updated Aug 29th, 2013 - about 12 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 1427482199 NPPES
Iowa Other 02160 SOCIAL WORK LICENSE

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