Huettman, Packy A

Huettman, Packy A is an individual health care provider with primary practice located at 3200 West Kimberly Road Suite 200, Davenport IA 52806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Huettman, Packy A can be contacted via phone (563) 355-9191.

Contact Information

Primary practice address
3200 West Kimberly Road Suite 200 Davenport IA 52806
Phone: (563) 355-9191
Fax: (563) 355-3419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 03132 Iowa

Profile Details

NPI number 1831194307
LBN Legal business name Huettman, Packy A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jun 29th, 2021 - about 4 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 1831194307 NPPES
Iowa MEDICAID 2167544
Iowa Other 67701
Iowa Other 4796890008
Iowa Other 066152
Iowa Other 30409
Iowa Other IA01D2

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