Dekoster, Robert K.

Dekoster, Robert K. is an individual health care provider with primary practice located at 1825 Logan Ave Emergency Department, Waterloo IA 50703-1916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dekoster, Robert K. can be contacted via phone (319) 235-3697.

Contact Information

Primary practice address
1825 Logan Ave Emergency Department Waterloo IA 50703-1916
Phone: (319) 235-3697
Fax: (319) 235-3844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 21538 Iowa

Profile Details

NPI number 1417926643
LBN Legal business name Dekoster, Robert K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Oct 22nd, 2007 - about 17 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 1417926643 NPPES
Iowa MEDICAID 1182121
Iowa Other 22454
Iowa Other P00207112

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