Garcia-Dorta, Linda Mabel

Garcia-Dorta, Linda Mabel is an individual health care provider with primary practice located at 300 West Broadway Ste 6, Council Bluffs IA 51503-9040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Garcia-Dorta, Linda Mabel can be contacted via phone (712) 325-1990.

Contact Information

Primary practice address
300 West Broadway Ste 6 Council Bluffs IA 51503-9040
Phone: (712) 325-1990
Fax: (712) 325-0288
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20454 Nebraska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32252 Iowa

Profile Details

NPI number 1720036676
LBN Legal business name Garcia-Dorta, Linda Mabel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated May 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720036676 NPPES
Other 161803 MEDICARE FQHC
MEDICAID 0188946 MEDICARE FQHC
Other 49614 MEDICARE FQHC
Other 70630 MEDICARE FQHC

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