Doorenbos, Roy A
Doorenbos, Roy A is an sole proprietor health care provider with primary practice located at 210 4Th Ave , Grinnell IA 50112-0780. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Doorenbos, Roy A can be contacted via phone (641) 236-2500.Contact Information
Primary practice address
210 4Th Ave
Grinnell IA 50112-0780
Phone: (641) 236-2500
Fax: (641) 236-2539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25226 | Iowa |
Profile Details
| NPI number | 1164416467 |
|---|---|
| LBN Legal business name | Doorenbos, Roy A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Oct 12th, 2007 - about 18 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 | 1164416467 | NPPES |
| Iowa | Other | DE1784 | RR MEDICARE GROUP # |
| Iowa | Other | 421300342501120001 | RR MEDICARE GROUP # |
| Iowa | MEDICAID | 6037523 | RR MEDICARE GROUP # |
| Iowa | MEDICAID | 0294322 | RR MEDICARE GROUP # |
| Iowa | Other | 25244 | RR MEDICARE GROUP # |
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