Dvorak, Brian Robert
Dvorak, Brian Robert is an individual health care provider with primary practice located at 1350 Boyson Rd Suite #D3, Hiawatha IA 52233-2211. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Dvorak, Brian Robert can be contacted via phone (319) 378-8280.Contact Information
Primary practice address
1350 Boyson Rd Suite #D3
Hiawatha IA 52233-2211
Phone: (319) 378-8280
Fax: (319) 378-8260
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 00774 | Iowa |
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 00774 | Iowa |
Profile Details
NPI number | 1912972688 |
---|---|
LBN Legal business name | Dvorak, Brian Robert |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 17th, 2006 |
Last updated | Dec 28th, 2009 - about 16 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 | 1912972688 | NPPES |
Iowa | MEDICAID | 0449520 |
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