Fletcher, Rocky J

Fletcher, Rocky J is an individual health care provider with primary practice located at 1825 Logan Ave , Waterloo IA 50703-1999. 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. Fletcher, Rocky J can be contacted via phone (319) 235-3886.

Contact Information

Primary practice address
1825 Logan Ave Waterloo IA 50703-1999
Phone: (319) 235-3886
Fax: (319) 233-1630
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X D-058051 Iowa

Profile Details

NPI number 1558315325
LBN Legal business name Fletcher, Rocky J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jan 28th, 2008 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558315325 NPPES
Iowa Other 43339 WELLMARK INS PLAN
Iowa Other 10745 WELLMARK INS PLAN
Iowa MEDICAID 2267047 WELLMARK INS PLAN
Iowa Other 26585 WELLMARK INS PLAN
Iowa Other 421417307A6 WELLMARK INS PLAN

Popular Providers