Dela Cruz, Angelito C

Dela Cruz, Angelito C is an individual health care provider with primary practice located at 1227 E Rusholme St Genesis Medical Center, Davenport IA 52803-9987. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dela Cruz, Angelito C can be contacted via phone (563) 421-7681.

Contact Information

Primary practice address
1227 E Rusholme St Genesis Medical Center Davenport IA 52803-9987
Phone: (563) 421-7681
Fax: (563) 421-7719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 21866 Iowa

Profile Details

NPI number 1669434320
LBN Legal business name Dela Cruz, Angelito C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jul 9th, 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 1669434320 NPPES
Iowa MEDICAID 0170381
Iowa MEDICAID 1170381

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