Grabouski, James K

Grabouski, James K is an individual health care provider with primary practice located at 3012 Hamilton Blvd , Sioux City IA 51104. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Grabouski, James K can be contacted via phone (712) 258-0501.

Contact Information

Primary practice address
3012 Hamilton Blvd Sioux City IA 51104
Phone: (712) 258-0501
Fax: (712) 258-1461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 7765 Iowa

Profile Details

NPI number 1104999358
LBN Legal business name Grabouski, James K
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 2007 - about 17 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 1104999358 NPPES
Iowa MEDICAID 0124321
Iowa MEDICAID 10025343600

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