Doyle, Scott Robert

Doyle, Scott Robert is an individual health care provider with primary practice located at 1825 Logan Ave , Waterloo IA 50703-1916. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Doyle, Scott Robert can be contacted via phone (319) 235-5386.

Contact Information

Primary practice address
1825 Logan Ave Waterloo IA 50703-1916
Phone: (319) 235-5386
Fax: (319) 235-3074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X D109377 Iowa

Profile Details

NPI number 1306890819
LBN Legal business name Doyle, Scott Robert
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Oct 14th, 2010 - about 14 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 1306890819 NPPES
Iowa Other 36162 WELLMARK INS PLAN
Iowa MEDICAID 0429837 WELLMARK INS PLAN
Iowa Other 421417307H7 WELLMARK INS PLAN

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