Haeker, Penelope Ann
Haeker, Penelope Ann is an sole proprietor health care provider with primary practice located at 5001 Sergeant Rd Suite 45, Sioux City IA 51106-4775. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Haeker, Penelope Ann can be contacted via phone (712) 224-4600.Contact Information
Primary practice address
5001 Sergeant Rd Suite 45
Sioux City IA 51106-4775
Phone: (712) 224-4600
Fax: (712) 276-3716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02247 | Iowa |
Profile Details
| NPI number | 1326040361 |
|---|---|
| LBN Legal business name | Haeker, Penelope Ann |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Nov 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326040361 | NPPES |
| Iowa | Other | 18018 | WELLMARCK BCBS |
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