Faldmo, David N
Faldmo, David N is an individual health care provider with primary practice located at 3410 Futures Dr , South Sioux City NE 68776-3917. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Faldmo, David N can be contacted via phone (402) 412-7242.Contact Information
Primary practice address
3410 Futures Dr
South Sioux City NE 68776-3917
Phone: (402) 412-7242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 000861 | Iowa |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1961 | Nebraska |
Profile Details
| NPI number | 1699769794 |
|---|---|
| LBN Legal business name | Faldmo, David N |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Jun 11th, 2021 - about 4 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 | 1699769794 | NPPES |
| Iowa | MEDICAID | 0092080 |
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