Huffman, Maurice Dean
Huffman, Maurice Dean is an sole proprietor health care provider with primary practice located at 4480 Utica Ridge Rd Suite 110, Bettendorf IA 52722-1656. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Huffman, Maurice Dean can be contacted via phone (563) 742-5100.Contact Information
Primary practice address
4480 Utica Ridge Rd Suite 110
Bettendorf IA 52722-1656
Phone: (563) 742-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 20280 | Iowa |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 20280 | Iowa |
Profile Details
| NPI number | 1316932429 |
|---|---|
| LBN Legal business name | Huffman, Maurice Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2005 |
| Last updated | May 1st, 2017 - about 8 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 | 1316932429 | NPPES |
| Wisconsin | MEDICAID | 34737600 | |
| Wisconsin | Other | 04719 | |
| Wisconsin | MEDICAID | 1725093 | |
| Wisconsin | Other | 28892 | |
| Wisconsin | Other | 28893 | |
| Wisconsin | MEDICAID | 0725093 | |
| Wisconsin | MEDICAID | 2725093 |
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