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
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care | 261QM3000X | 4285081 | Iowa |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831315415 | NPPES |
Iowa | MEDICAID | 0256727 |
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