Dittmer, Sandra Louise

Dittmer, Sandra Louise is an sole proprietor health care provider with primary practice located at 67464 250Th St , Colo IA 50056-8614. She recently has only one registered license in Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care, which is considered as her primary health care specialty. Dittmer, Sandra Louise can be contacted via phone (641) 377-2922.

Contact Information

Primary practice address
67464 250Th St Colo IA 50056-8614
Fax:
Website:

Health care specialties

Profile Details

NPI number 1831315415
LBN Legal business name Dittmer, Sandra Louise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
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 1831315415 NPPES
Iowa MEDICAID 0256727

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