Deckert, Judith A

Deckert, Judith A is an individual health care provider with primary practice located at 1236 E Rusholme St Suite 300, Davenport IA 52803-2473. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Deckert, Judith A can be contacted via phone (563) 324-2992.

Contact Information

Primary practice address
1236 E Rusholme St Suite 300 Davenport IA 52803-2473
Phone: (563) 324-2992
Fax: (563) 888-0499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A071049 Iowa

Profile Details

NPI number 1548249352
LBN Legal business name Deckert, Judith A
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Mar 12th, 2021 - about 4 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 1548249352 NPPES
Other 500005437 MEDICARE RAILROAD
MEDICAID 0416669 MEDICARE RAILROAD

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