Foote, Jan M
Foote, Jan M is an individual health care provider with primary practice located at 1215 Pleasant Street Suite 300 Blank Children'S Pediatric Clinic - Endocrinology, Des Moines IA 50309-1406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Foote, Jan M can be contacted via phone (515) 241-6500.Contact Information
Primary practice address
1215 Pleasant Street Suite 300 Blank Children'S Pediatric Clinic - Endocrinology
Des Moines IA 50309-1406
Phone: (515) 241-6500
Fax: (515) 241-8911
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | C063378 | Iowa |
Profile Details
NPI number | 1740272822 |
---|---|
LBN Legal business name | Foote, Jan M |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 16th, 2005 |
Last updated | Jun 17th, 2015 - about 9 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 | 1740272822 | NPPES |
Other | 175150054 | MEDICARE | |
MEDICAID | 1740272822 | MEDICARE |
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