Dellwo, Larry Joseph

Dellwo, Larry Joseph is an sole proprietor health care provider with primary practice located at 107 W 5Th St , Storm Lake IA 50588-2343. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Dellwo, Larry Joseph can be contacted via phone (712) 732-3775.

Contact Information

Primary practice address
107 W 5Th St Storm Lake IA 50588-2343
Phone: (712) 732-3775
Fax: (712) 732-3775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 132 Iowa
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 209 Iowa

Profile Details

NPI number 1619036860
LBN Legal business name Dellwo, Larry Joseph
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
Last updated Dec 2nd, 2014 - about 11 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 1619036860 NPPES
Iowa MEDICAID 0086892

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